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McLaren Caro Region PERIPHERAL VASCULAR DISEASE (PVD) SCREENING FORM and RELEASE OF RESULTS Name:___ Phone:___ Email:___ Address:___ City:___ Zip:___ q Maleq FemaleDate of Birth:___/___ /___Age:___
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How to fill out peripheral arterial disease screening

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How to fill out peripheral arterial disease screening

01
First, gather all necessary information such as medical history, family history, and any existing symptoms.
02
Next, perform a physical exam to check for any signs of peripheral arterial disease such as weak pulses, ulcers, or skin discoloration.
03
The next step is to conduct non-invasive tests such as ankle-brachial index (ABI) or Doppler ultrasound to assess blood flow in the arteries.
04
Based on the results of the tests, the healthcare provider can determine the appropriate treatment plan for the individual.

Who needs peripheral arterial disease screening?

01
Individuals who are at a higher risk of developing peripheral arterial disease should consider screening.
02
This includes people with a history of smoking, diabetes, high blood pressure, high cholesterol, or a family history of the disease.
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Peripheral arterial disease (PAD) screening is a diagnostic process that identifies individuals at risk for PAD, which is characterized by narrowed arteries reducing blood flow to the limbs.
Patients who are at risk for PAD, typically those over the age of 50 or individuals with risk factors such as diabetes, smoking, hypertension, or a family history of cardiovascular disease, are required to undergo PAD screening.
Filling out peripheral arterial disease screening typically involves completing a medical questionnaire that assesses symptoms, personal medical history, and risk factors. Healthcare professionals will guide the patient through the process.
The purpose of PAD screening is to detect the presence of arterial blockages early, which can help in the timely management and prevention of further cardiovascular complications.
The information reported on PAD screening usually includes patient demographics, medical history, physical examination findings, test results (such as ankle-brachial index), and any symptoms related to PAD.
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