You are caring for a 72-year-old patient who is in cardiac rehabilitation following open-heart surgery
The patient has been walking on a regular basis for about a week and walks for 15 minutes three times a day. The patient informs you that he is having a cramp-like pain in the legs every time he walks and that the pain gets "better when I rest." What would you suspect is the problem with this patient?
A) Glomerular nephritis
B) Intermittent claudication
C) Venous insufficiency
D) Vasculitis
Ans: B
Feedback: Intermittent claudication presents as a muscular, cramp-type pain in the extremities consistently reproduced with the same degree of exercise or activity and relieved by rest. Patients with peripheral arterial insufficiency often complain of intermittent claudication due to a lack of oxygen to muscle tissue. Option A is incorrect; glomerular nephritis is a disorder of the kidneys and would not directly account for the pain. Option C is incorrect; venous insufficiency presents as a disorder of venous blood reflux and does not present with cramp-type pain with exercise. Option D is incorrect; vasculitis is an inflammation of the blood vessels and presents with weakness, fever, and fatigue, but does not present with cramp-type pain with exercise.
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