Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent
0
1

Washes hands
0
1

Exposes patient fully and asks them to lie down
0
1

Asks if patient is in pain
0
1

General inspection around bed and patient (comfortable, cyanosis, stockings, amputations, walking aids, medication)
0
1

Asks patient to lie down and inspects for tar staining of nails, peripheral cyanosis, gangrene, scars
0
1

Checks capillary refill time and feels temperature of arms with back of hand comparing both sides
0
1

Feels radial pulse for presence and radioradial delay. Offers or performs radiofemoral delay. Feels brachial pulses
0
1

Palpate abdominal aorta
0
1

Inspects legs for scars, colour, hair loss, shiny thin skin, loss of subcutaneous fat, ulcers, gangrene and describes ulcers (particularly between toes/pressure points)
0
1

Checks capillary refill time and feels temperature of legs and soles with back of hand comparing both sides
0
1

Palpates femoral, popliteal, posterior tibial and dorsalis pedis pulses comparing both sides
0
1

Auscultates over the iliac, femoral and popliteal arteries
0
1

Offers or conducts Beurger's test looking for venous guttering, Beurger's angle and reactive hyperaemia on completion
0
1

Offers or conducts sensory examination of the lower limb
0
1

Thanks patient and offers help to redress
0
1

Washes hands
0
1

Requests additional arterial tests (ABPI, full cardiovascular examination) and venous exam
0
1

Summarises appropriately with only key findings
0
1

Offers appropriate differential diagnoses
0
1

Patient global score
0
1
2
If the station asks you to take a brief history, it is important to ask questions about current symptoms of arterial disease and assess its severity. Additionally, you could ask briefly about risk factors. 

Arterial
  • Leg pain (ask specifically if it occurs at rest as this is an emergency!) particularly how far this goes up
  • Weakness/Numbness/Pins & Needles
  • Changes to the skin
  • (Erectile dysfunction - important but usually not asked)
  • Risk factors: cardiovascular disease, smoking, diabetes, high cholesterol, high blood pressure