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Raynaud's?

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Rebecca Deaver <[log in to unmask]> wrote:

>Neurogenic?
>
>-----Original Message-----
>From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Paul J Graham
>Sent: Tuesday, October 09, 2012 11:18 AM
>To: [log in to unmask]
>Subject: Cold Legs and Feet, without Significant Arterial disease?
>
>So yesterday I had a Patient whom the Vascular Surgeon had Ordered an 
>Lower extremity PVR and Segmental Pressures on with Digit pressures. The 
>Patient was Not Diabetic and has no Atherosclerotic History. 
>However the Patients Legs and Feet were both VERY COLD to the touch. He 
>stated his legs are always like that. So I performed the Exam and while the 
>PVR waveforms in the Ankle's and Toes were a bit Dampened bilaterally. The 
>PressuresSeemed to be Within Normal Limits with exception of the Right Great 
>toe, however his Toe was very short and difficult to get a good pressure on.
>Even the Dampened PVR waveforms show a Dicrotic notch. Just out of 
>curiosity what else could cause someones feet to stay so cold?
>
>Thanks in advance
>
>Paul Graham RVT
>Technical Director 
>Delaware Bay surgical services
>Lewes, DE
>
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