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DISEASE
RISK FACTORS
82 years old Male Highest prevalence of
atherosclerotic PAD occurs in
the 6th and 7th decades of life.
Occasional alcoholic Increased risk of developing
drinker PAD in cigarette smokers, and in
persons with diabetes mellitus,
hypercholesterolemia,
hypertension or renal
insufficiency
Coronary artery 1/3 to of patients with
Disease, Stable angina symptomatic PAD have
pectoris evidence of coronary artery
disease
RISK FACTORS
Gradual left leg patient with severe ischemia calf swelling and
swelling, 3 months develop peripheral edema aching, especially
because they keep their legs in a after prolong
dependent position much of the standing.
time superficial venous
thrombosis presents
with erythema,
tenderness, and a
palpable cord.
cramp or charley
horse in the lower
calf that persists and
intensifies over
several days
Intermittent Most common symptom is
claudication Intermittent claudication
Characterized by slow or
impaired gait;
Calf discomfort in aortoiliac
disease.
Transient relief from Diuretic and antibiotics are not
diuretics and part of the treatment
antibiotics
Left leg swelling
- pitting edema - pitting edema
- skin erythema - skin erythema (reactive
- several palpable hyperemia when leg is in
subcutaneous dependent position)
nodules (largest: - subcutaneous nodules
2cm)
- minimal
tenderness
Patients Well scoring Score: 2 (patient has moderate likelihood to develop DVT)
Conclusion: DVT is less likely considered vs. PAD considering that the
characteristics of calf pain in patients with DVT is less consistent with that of the
patient, and that Wells Scoring did not indicate a high likelihood of DVT.