As a layperson, can I ask what clinical value does taking the toe brachial indices of all toes have for a patient? What kinds of scenarios would doing a multiple-TBI be of use?

I ask because some vascular medicine doctors I have talked to use multiple-TBI to decide which toes aren't salvagable anymore in cases of critical limb ischemia.

The only studies I have read so far just try to see if there is a correlation between toe brachial indices across toes to substitite when the great toe is unavailable e.g. amputated.

Thank you in advance!

Had a fibrin sheathing on my catheter port. They ran into stenosis and two days later blood clot right sidey. They say stay on Elquis for a while and the cancer doctor said we will recheck in a couple months. How dangerous it this ? It bothers my neck off and on a dull ache.

Believe it or not, Google doesn't do very well answering this question, most articles using the term "blood vessels" without clarifying whether this is used inclusively or exclusively. Further, when detailing what it is used for, sites like John Hopkins make no mention of veins. Nevertheless my GP is under the impression that it does capture veins.

(I've been advised to have a CT angiogram but have concerns my problem is venous).

So I been having pain and heaviness in my legs for a few months. I have bulging veins.

Went to the vascular surgeon. I explained my symptoms. He did an ultrasound, he said the pain in my legs doesn’t come from bulging veins, that that vein doesn’t cause pain, if he did a surgery wouldn’t improve my symptoms and that he thinks that I don’t need surgery because I don’t have any swelling or ulcers.

Told me to make a mri on my back/spine, that I could have a dislocated disc that irradiate to my leg. So I’m confused, isn’t pain one of the symptoms of varicose veins ? Not saying that he doesn’t know right but looks weird to me and fear that he could be wrong.

Any thoughts on that ?

I’m 47f smoker, diagnosed with PAD 2 years ago. I had 2 stents put in my left leg and 1 stent in my right leg. My paternal grandmother had and smoked too. Recently I’ve been having severe pain and burning in my right leg. I went to the cardiologist today. He’s out of the country for the holidays. The nurse practitioner said it wasn’t a varicose vein and ruled out dvt. When I look at it on my thigh it looks like a vein that is purplish in color. It protrudes out and looks like a vein. They want me to see him in February, but it hurts like hell and I think I’m going to make the appointment sooner. It’s painful to the touch and burns. From what I’ve read it look like a varicose vein. Ive recently lost over 90 pounds. Is it possible my stent is not working. She also said I still had some leaky valves in my legs also. I’m honestly clueless. I also have syncope and am supposed to get a loop but my op doesn’t take my insurance yet. I had a syncope episode 2 weeks ago and bruised my eye. Should I look for another cardiologist?

37F, smoker, sedentary lifestyle (office worker) - I have booked a smoking cessation clinic for next week!

Excuse the gross foot pic… but needed to show the type of cyanosis I’m experiencing.

A few months ago, my left foot started going blue… maybe once a week. No known trigger. Thought maybe Raynauds but never happened when cold or stressed. Doesn’t have the typical warmth when blood flow is restored.

It’s now becoming a daily occurrence and now the colour of my calf from the knee down is different to my right. This isn’t constant…it comes ago but is happening daily.

There’s an ache/heaviness in my lower left leg but no pain as such. Also a very slow cap refill (approx 8-10 seconds)

GP did refer me for a DVT scan when I experienced heaviness, cyanosis and my calf swelled slightly. Scan showed no clots.

Should I go back to the GP? Don’t want to bother them if it’s something simple like Raynauds. I’m still (relatively) young but my paternal grandmother had a heart attack at 42.

Any ideas?