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Surgery General 2d38740c

Which of the following represents the clinical presentation of a patient with critical lower limb ischemia?

A
Intermittent Claudication
B
Intermittent Claudication and gangrene
C
Rest pain and ischemic ulcers
D
Intermittent claudication and ischemic ulcers
High-Yield Explanation
Patient with critical limb ischemia has insufficient perfusion to sustain limb at rest, if left untreated such patients require amputation in 6 months. They experience pain at rest, ulcers and ischemic gangrene. Rest pain is exacerbated when lying supine and is improved by dangling the feet. Narcotics can also relieve the pain. Ref: Noninvasive Cardiovascular Imaging: A Multimodality Approach By Mario J. Garcia, Page 123; Schwaz's Principles of Surgery, 9th Edition, Chapter 23

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