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?
belongs to book: 1700 MCQ REVISED VERSION TOPIC WISE|DR. KHALID SAIFULLAH|4th EDITION| Chapter number:1| Question number:13
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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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