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nbme form 1 block 4 q 15 - kiranraja - Printable Version

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nbme form 1 block 4 q 15 - kiranraja - ArchivalUser - 03-26-2009

15. For 8 weeks, a 52-year-old man with a 5-year history of type 2 diabetes mellitus has had deep burning pain in the ball of his right foot and big toe when the foot is raised above chest level. He also has cramping in his right calf when he walks more than 50 feet. He has smoked two packs of cigarettes daily for 30 years. Femoral pulses are palpable; pedal pulses are absent. Which of the following is the most likely diagnosis?

A
) Aortoiliac stenosis

B
) Femoral popliteal stenosis

C
) Mononeuropathy

D
) Vasculitis

E
) Venous stasis


0 - ArchivalUser - 03-26-2009

its b. pt. has PAD.. signs of claudication are seen.. dorsalis pulse being absent also favors PAD...


0 - ArchivalUser - 03-27-2009

yeah, claidicaton pain, pain in foot on elevation, absent pedal pulse=> PAD


0 - ArchivalUser - 03-29-2009

BBB