Signs and Evidence

Making clinical sense of scientific data


Beware of the limitations of this tool

Peripheral arterial disease

Calculated pretest probability: 11.8 %
Relevant inclusion criteria: Age > 65, outpatients 

Clinical signs

2Cool skin
3Femoral bruit
4Palpable pulse abnormality
5Discoloured skin

To further investigations

Sources used:

1.Khan NA et al. Does the clinical examination predict lower extremity peripheral arterial disease? JAMA 2006 February 1, 295 (5): 536-46
2.Carmo GA et al. Can we measure the ankle-brachial index using only a stethoscope? A pilot study. Fam Pract 2009;26:22-6
3.Li XM et al. The diagnostic value of 64-multislice CT in patients with peripheral arterial occlusive diseases: comparison with digital subtraction angiography. J Interv Radiol. 2007;16(6):371-374
4.Kalbaugh CA et al. Peripheral Artery Disease Prevalence and Incidence Estimated From Both Outpatient and Inpatient Settings Among Medicare Fee‐for‐Service Beneficiaries in the Atherosclerosis Risk in Communities (ARIC) Study. Journal of the American Heart Association. 2017;6:e003796