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 […]

A 44-year-old man’s lower extremities are elevated to 60 degrees for approximately 1 minute. There is marked pallor of the right leg after elevation. The patient’s feet are lowered and dangled at the edge of the examination table and there is persistent pallor noted in the right lower extremity after 20 seconds. What is the […]

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 in […]

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. […]

A 62-year-old woman has been following-up with you in the clinic for painful ulcers of the lower extremities. You note that in her history she had moderate swelling in the lower extremities for many years. However, in the past couple years, ulcerations began to appear. History includes fairly well-controlled hypertension, obesity, and depression. Physical examination […]

A 65-year-old retired firefighter complains of calf pain when walking more than a few hundred feet. He states that the pain typically will go away once he sits down to rest, but will start again after walking another few hundred feet. He has a history of type II diabetes which is fairly well controlled with […]

A physician evaluates a 49-year-old woman who just returned from a trip to Europe. She endorses painless swelling in her right leg that began within a day or two after a 10-hour return flight. Examination of the right leg is notable for 2+ edema from the knee down, without appreciable edema in the left leg. […]

Shirley is a 76yo female who presents to your office for evaluation of chest pain that has been going on for the past 4 days. She states she occasionally does get chest pain now and again, but she noticed that over the past 4 days, when walking up the stairs, or going on her morning […]

A 62-year-old truck driver presents to his primary care physician for a preoperative evaluation. He is scheduled to have a coronary artery bypass graft tomorrow. The surgeon would like to harvest a portion of the radial artery to use as one of the bypass grafts. What preliminary test can be performed at the bedside to […]

Maria is a 17-year-old with a physical disability. She also has speech and vision problems. She has applied for a part-time job that would require her to take the public bus to and from work. Which of the following is the first step for the teacher to take in helping Maria prepare for this job? […]