4 Days Of Swelling in Surgery — 62yo Man | Vascular Surgery | SMLE Q#12374
SMLE Question #12374
Surgery
Vascular Surgery
Last updated: February 2026
A 62-year-old man with long-standing type 2 diabetes mellitus presents with 4 days of swelling, erythema, and purulent discharge from the right great toe. Examination shows a 2-cm plantar ulcer at the first metatarsal head with surrounding cellulitis; bone is not exposed. Distal pedal pulses are palpable, and sensation is mildly reduced in a stocking distribution. The clinician wants to evaluate for lower limb peripheral arterial disease to guide management. Which is the most appropriate initial vascular imaging modality for assessment in this patient?
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