Digital ischemia of the upper extremity: a systematic approach for evaluation and treatment.
Symptomatic upper extremity digital ischemia is an uncommon disorder reflecting diverse etiologies. Herein we present an algorithm to aid in evaluation and treatment of digital ischemia. This approach seeks to establish the diagnosis and lead to appropriate treatment while minimizing testing and therapy. Practical application of the algorithm is demonstrated through illustrative cases.
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Division of Plastic Surgery, Washington University School of Medicine, St. Louis, Mo.
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D000328:Adult; D001167:Arteritis / Q000175:diagnosis; D001831:Body Temperature; D004617:Embolism / Q000175:diagnosis; D005385:Fingers / Q000098:blood supply*; D005542:Forearm / Q000098:blood supply; D006801:Humans; D007511:Ischemia / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D008297:Male; D008875:Middle Aged; D010991:Plethysmography; D011928:Raynaud Disease / Q000175:diagnosis / Q000188:drug therapy; D013927:Thrombosis / Q000175:diagnosis