2 Hours Of Sudden in Surgery — 67yo Man | Vascular Surgery | SMLE Q#17744
SMLE Question #17744
Surgery
Vascular Surgery
Objective: OBJ-ALI-001
Last updated: February 2026
A 67-year-old man with type 2 diabetes mellitus, hypertension, and peripheral arterial disease presents with 2 hours of sudden severe left leg pain and numbness. The left foot is pale, cool, and has delayed capillary refill. The dorsalis pedis pulse is markedly weaker than the right, and ankle motor strength is reduced. What is the most appropriate initial investigation?
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