AAAAA
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A 72-year-old man is evaluated for bilateral leg pain and cramping after walking briskly up an incline. The pain is in the distal thigh and calf and is worse on the right side. He has no pain when walking downhill. The patient is a cigarette smoker with a 100•pack-year history; he has type 2 diabetes mellitus, hypertension, and heart failure. His medications are captopril, furosemide, atenolol, atorvastatin, insulin, and aspirin.
On examination, the blood pressure is 146/68 mm Hg and pulse rate 82/min and regular. Cardiac examination reveals an S4. The lungs are clear. There is a right femoral artery bruit with diminished pulses and mild dependent rubor. Ankle-brachial index is 1.4.
What is the most likely cause of the patient's symptoms?
A Ischemia with vascular calcification B Peripheral neuropathy C Spinal stenosis D Osteoarthritis E Right popliteal vein thrombosis
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| sarika
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A Ischemia with vascular calcification
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| PGI2alpha
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