Patient is a 54 y/o diabetic male who was admitted to the hospital for shortness of breath. Patient has a history of smoking, hyperlipidemia, and hypertension. Upon physical examination a dependent rubor was observed in the right leg. Upon further examination, the right leg compared to the contra-lateral limb was cooler, and during the exam the patient stated that sometimes he feels cramps at the level of his right thigh. Patient was taken to the OR for an angiogram. Angiogram was conclusive and showed collateralization of vessels at the level of the distal femoral artery in correlation with occlusive disease proximal to that site. Patient will undergo bypass surgery tomorrow.
Major Risk Factors: Diabetes, Hypertension, Hyperlipidemia, Smoking.
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