Acute limb ischemia Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 78-year-old man presents to the emergency department with a “cold” left leg. The patient woke up this morning and went to put on socks when he noticed that his left leg was cool to touch. He normally has pain in the leg that is worse at night and exacerbated by walking, but his leg has never felt cool. Past medical history is significant for diabetes mellitus. The patient has an allergy to penicillin as well as to iodinated contrast. Temperature is 37.3ºC (99.1ºF), pulse is 90/min, respiratory rate is 14/min and blood pressure is 139/84 mmHg. On physical exam, the left leg is cool and pale, and he is unable to plantar- or dorsiflex the left foot. Motor strength is diminished with left knee flexion and extension. Sensation is absent up to the mid calf. There are non-palpable pulses in the distal left leg and absent venous/arterial doppler signals. Which of the following suspected diagnosis and associated imaging modality is most appropriate for this patient?  

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