Long-standing Diabetes in Surgery — 65yo Man | Vascular Surgery | SMLE Q#16572
SMLE Question #16572
Surgery
Vascular Surgery
Last updated: February 2026
A 65-year-old man with long-standing diabetes and a heavy smoking history has 6 months of exertional left calf pain that occurs after walking 1–2 blocks and resolves with rest. On examination, the left femoral pulse is palpable, but the popliteal and pedal pulses are absent. His symptoms are lifestyle-limiting, and revascularization is being considered; anatomic lesion localization is needed using a noninvasive test. What is the most appropriate next investigation?
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