Arterial insufficiency
Intermittent Claudicating Capillary refill > 3 sec Absent or faint pedal pulses Thick toenails Cool skin Pain with ambulation Shiny skin Scant hair
venous insufficiency
Swelling in legs (graded from +1-+4) Warm skin temperature Dependent cyanosis Brown discoloration of the skin Chronic leg pain when in dependent position
pulsation locations
Temporal Carotid PMI Brachial Radial Ulnar Femoral Popliteal Posterior Tibial Dorsalis Pedis
Dopplers can be utilized as well
pulse assessment
Scale for pulse assessment \+0 = absent or not discernible \+1 = thready, weak, difficult to feel \+2 = normal, detected readily \+3 = increased \+4 = bounding