Question: A 20 years old lady has presented to your ED with numbness over bilateral upper limbs. Otherwise, she appears well and vital signs taking from triage is normal. Kindly examine her peripheral vascular system and explain your management plan.

Before you end, do not forget to mention:
- Need to perform a complete neurological examination
- Need to check for ankle brachial pressure index (ABPI)
- Should perform special test (Buerger Test) – not done in this video

Doctor: Ivan Tan
Patient: Mannequin as Miss Hermione by Homaladevi

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