Q:

A 60 year old diabetic complains of pain in thigh and gluteal region on walking up the stairs for the last 6 months. She is a heavy smoker and has ischemic heart disease. What is the most appropriate diagnosis?

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A 60 year old diabetic complains of pain in thigh and gluteal region on walking up the stairs for

the last 6 months. She is a heavy smoker and has ischemic heart disease. What is the most

appropriate diagnosis?


  1. Thromboangitis Obliterans
  2. Sciatica
  3. DVT
  4. Atherosclerosis
  5. Embolus

All Answers

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The key is D. Atherosclerosis. [i) It is not sciatica as sciatica pain is worse when sitting. There may be

weakness, numbness, difficulty moving the leg or foot. A constant pain on one side of the rear. A

shooting pain that makes it difficult to stand up. ii) It is not DVT as no swelling, warmth or redness of

skin are there iii) It is not thromboangitis obliterans as pulses are ok, no colour change or reduced hair

growth, no ulceration or gangrene iv) not embolism as no pain (rest pain), no numbness, not pale or

blue, no rash, no ulceration of skin].

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