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The difficulty lies in deciding which part of the circulatory system is out of wack....arterial, venous, lymphatic, or organ system that can be manifest by 'circulatory' issues: cardiac, hepatic, endocrine. Some connective tissue problems as mentioned can be related to circ problems...again the exact part needs to be defined.
Are pulses present, is there capillary refill and venous flow, are the nodes palpable. A vascular surgeon is not a bad way to start if the primary doc has no clue.
ss
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'Revel in action, translate perceptions into instant judgements, and these into actions that are irrevocable, monumentous and dreadful - all this with lightning speed, in conditions of great stress and in an environment of high tension:what is expected of "us" is the impossible, yet we deliver just that.
(adapted from: Sherwin B. Nuland, MD, surgeon and author: The Wisdom of the Body, 1997 )
Education is the anti-ignorance we all need to better treat our patients. ss, 2008.
The blade is so sharp that the incision is perfect. They don't realize they've been cut until they're out of the fight: A Surgeon Warrior. I use a knife to defend life and to save it. ss (aka traumadoc)
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