Quiz Details

Cardiology General Medicine

Indian Doctors Network posted a quiz

over 1 year ago

A 57-year-old male smoker with hypertension, hypercholesterolemia, and peripheral vascular disease presents unable to walk due to pain.

A 57-year-old male smoker with hypertension, hypercholesterolemia, and peripheral vascular disease presents unable to walk due to pain. He has had progressive worsening of pain in both his legs on walking for several weeks, and the left calf has been extremely painful for 2 days. Vital signs are T 98.2, HR 90 regular, BP 175/90, RR 20, SpO2 98% RA.

Examination reveals a regular heart rate, 1+ dorsalis pedis (DP)/posterior tibialis (PT) pulses on the right, absent DP/PT pulses on left, ABI 0.55 on the right and 0.40 on the left, no bruits, and no signs of infection. Which of the following is the most likely pathophysiologic mechanism?

A.

In situ thrombosis

B.

Arterial embolism

C.

Inflammation

D.

Vasospasm

E.

Arteriovenous (AV) fistula

Please Select at least one option.