An 82-year-old man presents to the clinic complaining of a sudden onset of right lower leg and foot pain and paresthesias

    April 21, 2024

An 82-year-old man presents to the clinic complaining of a sudden onset of right lower leg and foot pain and paresthesias that started this morning and since have been worsening. He has not had any similar type of symptoms in the past. He denies any recent injuries or other issues. He has a history of coronary artery disease, and underwent bypass surgery 12 years ago. On examination, he has mild 1 edema bilaterally, and the right lower leg and foot are noticeably cooler to touch than the left. He has 2 femoral and popliteal artery pulses and absent dorsalis pedis and posterior tibial pulses. What would be the best plan of care for this patient? Return for ankle-brachial index in the next couple of days. Refer him to the vascular surgeon immediately. Return home, rest, and recheck next week. Educate him for a walking program. Schedule a Doppler ultrasound.

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