A 61-year-old woman complains of severe postprandial abdominal pain and a 20-pound weight loss over the past eight months. She has hypercholesterolemia and is a current cigarette smoker with a 30 pack-year history. The history you obtain does not suggest a gastrointestinal etiology, and you feel it is warranted to do further diagnostics to evaluate […]

The 47-year-old obese bank teller presents for evaluation of lower extremity edema. She is otherwise healthy and has no other major medical problems. She has had problems with this for many years. On examination of her lower extremities, she has significant swelling of both lower extremities up to the knee. The skin is markedly thickened, […]

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 […]

An 82-year-old retired man presents to the clinic with an acute onset of right lower leg pain. On examination of the right lower extremity, the physician notes that the dorsalis pedis and posterior tibial pulses are absent, the popliteal pulse is 1 , femoral pulse is 2 and the foot is cool to the touch […]

A 32-year-old woman complains of pain and swelling in her left leg. Symptoms have been worsening over the past couple of days. On examination of her leg, the physician notes a palpable cord that travels medially from the area of the knee to the groin. Ultrasound does not show any evidence of deep venous thrombosis. […]