You decide to look at S.P.'s lower extremities. What signs do you expect to find with PAD? Select all that apply
a. Cool or cold extremity
b. Thin, shiny, and taut skin
c. Brown discoloration of the skin
d. Decreased or absent pedal pulses
e. Ankle edema
f. Thick, brittle nails
Answers: a, b, d, f
Assessment findings for PAD include diminished or absent pulses below the level of stenosis;
cool or cold extremity; shiny, thin, taut skin that can be fragile; diminished or loss of hair in a
stocking pattern; loss of subcutaneous tissue; and nail changes—thick, brittle, slow growing. Brown
discoloration of the skin and ankle edema are changes found with venous disease.
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