A complete assessment addresses each of the following each visit, scaled to the patient's diagnosis and stability:
Peripheral pulses — radial, brachial, femoral, popliteal, dorsalis pedis, and posterior tibial: amplitude and symmetry.
Capillary refill; extremity color, temperature, hair distribution, and skin and nail changes.
Edema — location, grade, symmetry, and whether pitting.
Pain — claudication (distance to onset and relief with rest), rest pain, or acute severe pain.
Signs of arterial insufficiency — pallor on elevation, dependent rubor, cool and hairless thin shiny skin, diminished pulses, and ulcers on the toes or pressure points.
Signs of venous insufficiency — edema, hyperpigmentation, varicosities, warmth, and medial-malleolar ulcers.
Signs of deep-vein thrombosis — unilateral calf swelling, warmth, tenderness, and erythema.
Compression-device use and tolerance; mobility and activity tolerance.
Medication regimen — anticoagulants, antiplatelets, vasodilators, and diuretics: adherence, effect, and adverse effects.
