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VASCULAR SURGERY
Case #6 -
A 75 year old with bilateral leg cramping

DISCUSSION QUESTIONS:
1.) What is the differential diagnosis of this pain in the foot?  Answer 
2.) What is intermittent claudication?  Answer 
3.) How would you characterize rest pain?  Answer 
4.) What is the clinical significance of rest pain? What are other findings that predict limb loss?  Answer 
5.) What physical findings do you expect to see in this patient?  Answer 
6.) How would you next evaluate this patient? What ankle/brachial indices and toe pressures do you expect in this patient?  Answer 
7.) What value ABI is a predictor of limb loss?  Answer 
8.) What initially would be your management in this patient?  Answer 
9.) What would indicate need for surgery?  Answer 
10.) What other studies are needed preoperatively?  Answer 
11.) What is the importance of an arteriogram?  Answer 
12.) Which is safer – amputation or revascularization?  Answer 
13.) What are the three criteria that must be met to have successful bypass surgery?  Answer 
 
  The Virtual Patient > Case List > VASCULAR SURGERY - Case # 6