peripheral vascular/central venous status

Question 1

smoker 50yo with history of DM, Hyperlipidemia, with calf pain comes into clinic stating it is worse at night. what do you expect to see? How do you plan to diagnose gold standard. How do you plan to treat?

Answer 1

Shiny, hairless, pallor, cyanosis, ulcer, reduced pulses

Stopsmoking treat with cliostazol, weight loss, angioplasty bypass, amputation

Question 2

Nurse comes in with increasing edema complaints of aching in legs that is relieved with elevation. What do you expect to see.

Answer 2

Trophic changes with brown, statsis leg ulcers, edema of lower extremities, dermitatis.