vascular.ae

For Doctors

Reviewed by Dr Amit Kumar

This page is organised by the region of the body where your patient's problem appears — Arms & Hands, Abdomen & Pelvis, Legs, and Head & Neck.

Find the presentation that matches your patient and click 'yes' to open a pre-filled referral email; complete the blanks and send.

NOTE — Dr. Amit performs his own ultrasounds so as to ensure correlation of the images with the patient's clinical condition.

Arms & Hands Abdomen & Pelvis Legs Head & Neck

Arms & Hands

Upper-limb vascular presentations are less common but important — arterial, venous, and vasospastic. Several may also reach you via rheumatology.

Colour change of the fingers on cold exposure (Raynaud's)yes

Hand or finger ulceration / ischaemiayes

Arm claudication / difference in arm blood pressuresyes

Swelling of one armyes

Abdomen & Pelvis

These presentations are dominated by aneurysmal and aorto-iliac disease. The distinction between a stable incidental finding and a symptomatic aneurysm is critical.

Pulsatile abdominal mass / incidentally-found AAA on imagingyes

Known aneurysm with new abdominal, flank, or back pain

Buttock/thigh claudication with erectile dysfunction (aorto-iliac disease)yes

Legs

The lower limb is where most vascular referrals arise — arterial, venous, lymphatic, and diabetic.

Varicose veins with leg pain, heaviness or swellingyes

Possible lipedemayes

Calf/thigh/buttock pain on walking, relieved by rest (claudication)yes

Foot pain at rest or at night (rest pain)yes

Non-healing leg or foot ulceryes

Swelling of one leg

Is it painful and focal?No / painless

Diabetic foot — ulcer, discolouration, or vascular assessmentyes

Sudden painful, cold, pale or discoloured leg

Head & Neck

These presentations centre on carotid disease and its neurological consequences.

TIA, Unilateral weakness - arm or leg, transient unilateral visual loss, slurring of speech

Asymptomatic carotid bruityes

Pulsatile or non-pulsatile neck swellingyes