Chronic Peripheral Arterial Disease in Surgery — 68yo Man | Vascular Surgery | SMLE Q#1375

SMLE Question #1375

Surgery Vascular Surgery
Last updated: February 2026
A 68-year-old man with chronic peripheral arterial disease develops sudden severe right calf pain while walking that persists for 2 hours. He reports numbness in the right foot. The right leg is cool with diminished popliteal pulse and absent distal pulses. The left leg has a palpable popliteal pulse with diminished distal pulses. Motor strength is intact bilaterally. What is the most appropriate next step in management?

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