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The image shows a page from a medical document, likely a checklist or guide for examining a patient with peripheral vascular disease. The text is printed and some sections have been underlined and annotated with blue ink handwriting.

The document is titled "STEPS OF EXAMINATION OF PATIENT WITH PERIPHERAL VASCULAR DISEASE". It begins with an introductory phrase: "Assalam-o-Alaikum, I am Dr. ______". This is followed by instructions for the examination, divided into "On palpation" and "Don't forget to examine".

Under "On palpation", there are several points to check, including:
*   Tenderness
*   Temperature
*   Checking between the toes
*   Checking capillary refilling
*   Performing Buerger's postural test and noting color
*   Noting venous filling time
*   Palpating Dorsalis pedis, posterior tibial arteries, and popliteal artery
*   Examining ulcers if present
*   Checking inguinal lymph nodes
*   Checking sensory and motor nerves
*   Auscultating the femoral bruit

The "Don't forget to examine" section lists:
*   Heart (Auscultation)
*   Carotid Artery (bruit)
*   Abdomen for aortic aneurysm
*   Radial artery
*   Radio femoral delay
*   At the end, cover the patient and say thanks.

Handwritten notes in blue ink appear to the right of some of the listed examination steps. These include:
*   "Burge's Test" with an upward arrow
*   "Allen Test 11"
*   "Adson Test. (C)"

The document is printed on white paper and appears to be a page from a notebook or binder. The lighting suggests it is indoors. There are no visible indications of a city or specific location.
FM-xxDv52

Jun 17, 2026, 7:48 AM

Unknown, Unknown

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medical
examination
procedure
instruction
healthcare

The image shows a page from a medical document, likely a checklist or guide for examining a patient with peripheral vascular disease. The text is printed and some sections have been underlined and annotated with blue ink handwriting. The document is titled "STEPS OF EXAMINATION OF PATIENT WITH PERIPHERAL VASCULAR DISEASE". It begins with an introductory phrase: "Assalam-o-Alaikum, I am Dr. ______". This is followed by instructions for the examination, divided into "On palpation" and "Don't forget to examine". Under "On palpation", there are several points to check, including: * Tenderness * Temperature * Checking between the toes * Checking capillary refilling * Performing Buerger's postural test and noting color * Noting venous filling time * Palpating Dorsalis pedis, posterior tibial arteries, and popliteal artery * Examining ulcers if present * Checking inguinal lymph nodes * Checking sensory and motor nerves * Auscultating the femoral bruit The "Don't forget to examine" section lists: * Heart (Auscultation) * Carotid Artery (bruit) * Abdomen for aortic aneurysm * Radial artery * Radio femoral delay * At the end, cover the patient and say thanks. Handwritten notes in blue ink appear to the right of some of the listed examination steps. These include: * "Burge's Test" with an upward arrow * "Allen Test 11" * "Adson Test. (C)" The document is printed on white paper and appears to be a page from a notebook or binder. The lighting suggests it is indoors. There are no visible indications of a city or specific location.

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Volume

11,550

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+$0.04

Revenue

+$0.07

TVL

$2.84

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FM-xxDv52

Jun 17, 2026, 7:48 AM

Unknown, Unknown

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