10-21-2010, 09:01 AM
11. A 48-year-old man who smokes cigarettes has had progressive claudication in the left calf for the past month. He says the pain lasts about 5 minutes and then subsides. Physical examination shows absent pulses in the left foot and normal pulses in the right foot. Atrophic changes are noted in both legs. Doppler examination shows a 0.40 left ankle/brachial ratio; there is no change with exercise. Which of the following is the most likely diagnosis?
A) Aortic occlusive disease
B) Femoral popliteal occlusive disease
C) Leriche syndrome
D) Peripheral small-vessel occlusive disease
[E) Thromboangiitis obliterans]
A) Aortic occlusive disease
B) Femoral popliteal occlusive disease
C) Leriche syndrome
D) Peripheral small-vessel occlusive disease
[E) Thromboangiitis obliterans]