Peripheral arterial disease is only the tip of the atherosclerotic "iceberg".

摘要: 62-year-old Cuban-born woman presents to her primary care physician with pains in the right calf after walking 1 city block, of 5 months’ duration. Following an automobile accident year before, she had developed a mild degree spinal stenosis lower lumbar spine revealed by magnetic resonance imaging. On basis this finding, patient been treated as orthopedic problem. Further questioning additional history that included relief muscle pain minute rest, essential hypertension for past years and diabetes mellitus type 2, 6 years’ With history, doctor was quite certain peripheral artery disease (PAD) responsible patient’s presenting symptoms. No cardiac or cerebrovascular symptoms were elicited on system review. QUESTIONS