Peripheral Vascular

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Trace DC91-5

DiraChart Clinical Reference
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1. Purpose and clinical relevance

DiraChart Clinical Reference

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4. Abnormal findings — the necessity chain

Finding → severity → comparison → risk → intervention → notification (provider + representative) → orders → response → reassessment.

Model abnormal 1

Suspected deep-vein thrombosis: new unilateral left-calf swelling, warmth, and tenderness with calf pain on movement, in a resident on post-operative/immobility risk — concerning for a DVT. Provider notified, the limb assessed and measured (calf circumference vs the other leg), activity and any prophylaxis order reviewed, a Doppler study ordered, and the resident monitored for embolic signs (dyspnea, chest pain, hypoxia); supports the Section N/I update. Skilled surveillance required, as a DVT is time-critical. (Anticoagulation management routes to the Anticoagulation overlay.)

Model abnormal 2

Acute limb ischemia concern: the affected foot now cool and pale with diminished/absent pulses, delayed capillary refill, and new rest pain — concerning for acute arterial compromise. Provider notified urgently, the limb reassessed and protected (kept dependent/warm per protocol, no compression), and the resident monitored; orders received; supports the Section update. Skilled recognition required, as limb ischemia is an emergency.

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