Page 1 of 1: left calf pain

bebica · Credits: 25995 My Scrapbook

A 70 year old male complains of left calf pain when
walking. He had two MI and a stroke.
Q1. What diagnosis would you consider in the patient
at this time? List 2

Q2.What features on physical exam you will find to
subtantiate your diagnosis?( select6)
1.Abdominal pain,
2 Absent left femoral pulse
3 Absent left post and dorsalis pedis pulse
4 absent popliteal pulse
5 carotid bruit
6 dec BP in left arm
7 Dec pedal pulses after exercise
8 femoral bruit
9 Increase femoral bruit after exercise
10Insp and exp wheeze
11 pulsatile femoral mass
12 pulsatile abdominal mass

Q3 The diagnosis is made. what counseling(advice)
you will be giving to patient?
Write 3.

sozan · Credits: 733 My Scrapbook

Q1.vascular claudication& neurological claudication

Q2.! abdominal pain,2absent femoral pulse,3absent left post and dorsalis pedis pulse ,4 absent popliteal pulse, 7 decrease pedal pulsation after exercise

Q3 Exercise ,special shose , surgery

sai06 · Credits: 6900 My Scrapbook

-Vascular claudication
- DVT

3 Absent left post and dorsalis pedis pulse
4 absent popliteal pulse
7 Dec pedal pulses after exercise
5 carotid bruit

exercise
stop smoking
Compliance with medicine

bebica · Credits: 25995 My Scrapbook

A 70 year old male complains of left calf pain when
walking. He had two MI and a stroke.
Q1. What diagnosis would you consider in the patient
at this time? List 2
1. chronic arterial insuficiency
2. neurological claudication(spinal stenosis)

Q2.What features on physical exam you will find to
subtantiate your diagnosis?( select6)
1.Abdominal pain,
2 Absent left femoral pulse------
3 Absent left post and dorsalis pedis pulse-----
4 absent popliteal pulse------
5 carotid bruit
6 dec BP in left arm
7 Dec pedal pulses after exercise-----
8 femoral bruit-----
9 Increase femoral bruit after exercise----
10Insp and exp wheeze
11 pulsatile femoral mass
12 pulsatile abdominal mass

Q3 The diagnosis is made. what counseling(advice)
you will be giving to patient?
Write 3
treat of assocoate risk factors(if exists)- smoking, hypercholesterolemia, BP
exercise
meds

ieva · Credits: 3579 My Scrapbook

Q1. What diagnosis would you consider in the patient
at this time? List 2
1)peripheral arterial disease
2) spinal stenosis

Q2.What features on physical exam you will find to
subtantiate your diagnosis?( select6)
1.Abdominal pain,
2 >>>Absent left femoral pulse
3 >>>Absent left post and dorsalis pedis pulse
4 >>>absent popliteal pulse
5 carotid bruit
6 dec BP in left arm
7 >>>Dec pedal pulses after exercise
8 femoral bruit
9 Increase femoral bruit after exercise
10Insp and exp wheeze
11 pulsatile femoral mass
12 pulsatile abdominal mass

Q3 The diagnosis is made. what counseling(advice)
you will be giving to patient?
Write 3.
1)plan diagnostic and therapeutic angiography
2)medicaments
3)exercise and RF elimination

mikejonathan20055 · Credits: 3355 My Scrapbook

Q2.What features on physical exam you will find to
subtantiate your diagnosis?( select6)
1.Abdominal pain,-----------------
2 Absent left femoral pulse
3 Absent left post and dorsalis pedis pulse-----------------
4 absent popliteal pulse--------------------
5 carotid bruit --------------------
6 dec BP in left arm
7 Dec pedal pulses after exercise
8 femoral bruit ------------------
9 Increase femoral bruit after exercise
10Insp and exp wheeze
11 pulsatile femoral mass
12 pulsatile abdominal mass--------------------

Q3 The diagnosis is made. what counseling(advice)
you will be giving to patient?
Write 3.
Risk Factor Modification
Excesice
Medciation adherence

Note : Spinal Cord Claudication or Radical Claudication .... Will be Bilateral mostly

maryana · Credits: 15476 My Scrapbook

70 year old male complains of left calf pain when
walking. He had two MI and a stroke.
Q1. What diagnosis would you consider in the patient
at this time? List 2
DVT
Vascular claudication

Q2.What features on physical exam you will find to
subtantiate your diagnosis?( select6)
1.Abdominal pain,
2 Absent left femoral pulse
3 Absent left post and dorsalis pedis pulse //////
4 absent popliteal pulse /////////
5 carotid bruit /////////
6 dec BP in left arm
7 Dec pedal pulses after exercise ////////
8 femoral bruit
9 Increase femoral bruit after exercise
10Insp and exp wheeze
11 pulsatile femoral mass
12 pulsatile abdominal mass

Q3 The diagnosis is made. what counseling(advice)
you will be giving to patient?
Write 3.
Schedule Doppler study
Smoking cessation
Exercise

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