Peripheral arterial disease and ulcers Quiz: Ace Your Exams
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A 69-year-old man presents to the urgent care clinic for evaluation of leg pain. The patient is a retired architect and spends most of his time reading. During the past three months, the patient has experienced intermittent calf pain that occurs while he is doing chores around the house. The pain is relieved after sitting for a few minutes. There is no associated dyspnea, orthopnea, or chest pain. The patient has hyperlipidemia and hypertension that are well controlled with ezetimibe and enalapril, respectively. Temperature is 37°C (98.6°F), pulse is 83/min, and blood pressure is 117/78 mmHg. His pre-exercise ankle-brachial index is 0.95 and post-exercise ABI is 0.65. On physical examination, the lower extremities are cool and hairless and the bilateral distal lower extremity pulses are weak. Which of the following is the best next step in management?
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