Your patient reports bilateral leg aching and cramping after walking a short distance. Popliteal and ankle pulse are weak. You requisition:

Question

Quizplus · Accepted Answer

This clinical situation should raise suspicion of arterial insufficiency, which would require noninvasive lower extremity arterial testing. Lower extremity venous duplex sonography and radionuclide bone scans do not examine arteries. MR angiography (MRA) is incorrect because of the basic principle of starting with an established initial lower-cost procedure that is far more easily tolerated by the patient than MRA.

Your Patient Reports Bilateral Leg Aching and Cramping After Walking