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VASCULAR SURGERY
Case #7 -
A 55 year old with acute R leg and foot pain

DISCUSSION QUESTIONS:
1.) Given this patient's history and physical findings, what do you think is the diagnosis?  Answer 
2.) What are the characteristics of an ischemic limb?  Answer 
3.) What else could cause acute ischemia of the limb? Why is this unlikely in this man?  Answer 
4.) How could you further confirm your clinical findings?  Answer 
5.) Why is the neurologic exam important?  Answer 
6.) When do you revascularize the limb semielectively?  Answer 
7.) When do you do an arteriogram?  Answer 
8.) What do you do preoperatively about his anticoagulant therapy? What do you do postoperatively?  Answer 
9.) How do you revascularize the limb in the case of an embolus? In the case of a thrombus?  Answer 
10.) What is the role of thrombolytic therapy?  Answer 
 
  The Virtual Patient > Case List > VASCULAR SURGERY - Case # 7