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Utility of Palpatory Ankle Brachial Pressure Index as a Screening Tool for Asymptomatic Peripheral Vascular Occlusive Disease in Type II Diabetes Mellitus Patients in a Rural Hospital

International Journal of Anatomy, Radiology and Surgery. 2019 Oct, Vol-8(4): SO01-SO03 IntrOductIOn PVOD or PAD is a frequently occurring macrovascular complication in those patients suffering from Type II Diabetes Mellitus [1]. Atherosclerosis is accelerated in such patients; hence, they are prone to develop significant vascular occlusion causing critical ischaemia and gangrene, adding to the existing morbidity and mortality associated with type II diabetes mellitus [2]. It is observed that PVOD is influenced by the presence of diabetic neuropathy, duration of diabetes mellitus, and glycaemic control [3]. Diabetic foot ulcers occur as a result of diminished arterial supply often seen as a macrovascular complication [4]. Due to the variation in presentation of patient’s lower limb arterial occlusion; there is a growing need for a reliable, non-invasive screening test [5,6]. The need for early diagnosis of PVOD is more applicable for rural areas, owing to the lack of modern equipment and infrastructure to identify the same.