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This case presents a diabetic patient with right calf cramping after walking one block. The pain is relieved after cessation of walking for a few minutes. The patient is then able to walk approximately the same distance. These signs and symptoms are similar to that of a patient with intermittent claudication. The term claudication comes from the Latin word “to limp”. Claudication can refer to an impairment in walking, pain, discomfort, numbness, or tiredness in the legs that occurs during walking or standing. According to Aronow (2012), “peripheral arterial disease may cause intermittent claudication which is pain or weakness with walking that is relieved with rest” (p. 375). PAD is a chronic arterial occlusive disease of the lower extremities caused by atherosclerosis. Just distal to the arterial obstruction is usually where the muscle pain or weakness may occur after exercise. PAD is a type of peripheral vascular disease, which also includes carotid artery disease, renal artery disease, aortic disease, and venous problems. An appropriate exam that may be ordered for these symptoms is an ankle-brachial index (ABI). Intermittent claudication caused by …show more content…
The main thing that needs to be determined is how severe a blockage is and which arteries are involved. An agiogram uses dye, which is injected into the groin with the use of a catheter. Magnetic resonance angiography (MRA) is a type of magnetic resonance imaging (MRI). This is another way to provide images of arteries and blood vessels. The one that is most commonly used is called computer tomography angiography. This method uses x-rays to visualize blood flow in arteries throughout the body. This method is also used to diagnose peripheral arterial disease. However, it does involve radiation but can be used in patients who have contraindications to

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