1. Peripheral Vascular (PVS) Examination (OSCE)
Presented by
Dr.MOHAMMED MAREE
Surgical Department
Al-Makassed Hospital

2. Leg ulcers Leg ulcers are the most common type of leg ulcer is
debilitating and painful
greatly reducing patient's quality of life.
difficult to treat
the most common type of leg ulcer is
venous ulcer
neuropathic ulcer
arterial ulcers.
the successful treatment depends upon the accurate diagnosis and treatment of the underlying cause.

3. Clinical assessment

4. inspection

5. inspection

6. inspection

7. inspection

8. inspection

9. Peripheral Vascular (PVS) Examination
Washing your hands.
A general observation of the patient
General appearance of the legs
Muscle wasting
Scars.
Patient’s legs, feet and toes
Ulcers
painless or painful

10. Ulcers (venous or arterial )
painless or painful
Any skin changes
varicose eczema
sites of previous ulcers
varicose veins (seen best with the patient standing.)

11. palpating the legs temperature of each leg(Starting distally)
Check capillary return
If abnormal perform Buerger’s Test, This involves raising the patient’s feet to 45 degrees. In the presence of poor arterial supply, pallor rapidly develops

12. you should feel abdominal aorta peripheral pulses: Femoral Popliteal
Finally for palpation,
you should feel
abdominal aorta
peripheral pulses:
Femoral
Popliteal
Posterior tibial
Dorsalis pedis

13. auscultate in a peripheral vascular examination.
Listen for femoral and abdominal aortic bruits