Which of the following is part of common or concerning symptoms for the peripheral vascular system?
A 57-year-old maintenance worker comes to your office for evaluation of pain in his legs. He has smoked two packs per day since the age of 16, but he is otherwise healthy. You are concerned that he may have peripheral vascular disease.
A) Intermittent claudication
B) Chest pressure with exertion
C) Shortness of breath
D) Knee pain
A) Intermittent claudication
Intermittent claudication is leg pain that occurs with walking and is relieved by rest. It is a key symptom of peripheral vascular disease. This symptom is present in only about one third of patients with significant arterial disease and, if found, calls for more aggressive management of cardiovascular risk factors. Screening with ankle brachial index can help detect this problem.
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