A 68-year-old man presents to the OPD clinic with cramping left thigh and calf pain for 8 months. The pain increases with walking and relieved by rest for 15 min. He came to the OPD because the pain has been more frequent and comes at rest. The patient has history of DM, HTN, hypercholesteremia, and he quit smoking 5 years ago. In your evaluation all of the findings are excepted EXCEPT:
سؤال مجاني 1 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: A. Left ankle /brachial index of 0.9
✓ مطابق للمصدر
PVD - Afnan.pdf · p. 30
Claudication that has progressed to rest pain means severe PAD/CLTI, where the ABI is expected to be < 0.4. An ABI of 0.9 is borderline/mild disease, so it is the unexpected finding.
- An absent posterior tibial pulse, a Buerger angle < 20° with reactive hyperaemia, and a tight iliac occlusion (thigh + calf claudication) all fit severe aorto-iliac/limb ischaemia.
- المصدر
- PVD - Afnan.pdf · p. 30
- المحاضرة
- Peripheral vascular and Diabetic foot · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 153 Q9