RT Book, Section A1 Hamm, Rose A1 Carey, Joseph N. SR Print(0) ID 1179615825 T1 Ischemic Wounds T2 Essential Elements of Wound Diagnosis YR 2021 FD 2021 PB McGraw Hill PP New York, NY SN 9781260460476 LK accessphysiotherapy.mhmedical.com/content.aspx?aid=1179615825 RD 2024/03/28 AB Most ischemic wounds are caused by moderate to severe peripheral arterial disease (PAD); however, there are several systemic disorders that can also cause skin hypo-perfusion which results in non-healing wounds, e.g. arterial entrapment, thrombus, adventitial cyst, embolism, fibromuscular dysplasia, dissection, trauma, vasculitis, and vasospasm.1 Successful treatment of any ischemic wound depends first upon treatment of the underlying disease, be it PAD or some other malady such as pressure, chronic venous insufficiency, autoimmune diseases, trauma, diabetes, or infection. Evaluation of any wound that presents below the knee must include a thorough vascular screening to rule out PAD as a contributing factor. This chapter illustrates ischemic wounds caused by both PAD and systemic disorders, as well as signs and symptoms for a differential diagnosis.