2 Hours Of Sudden in Surgery — 67yo Man | Vascular Surgery | SMLE Q#18300
SMLE Question #18300
Surgery
Vascular Surgery
Objective: OBJ-AAA-SURV-001
Last updated: February 2026
A 67-year-old man with peripheral arterial disease and chronic calf claudication presents with 2 hours of sudden severe left leg pain. He reports numbness and inability to move his toes. The left foot is pale and cool with absent dorsalis pedis and posterior tibial pulses compared with the right, with delayed capillary refill. Ankle motor strength is 2/5, and sensation is decreased over the dorsum of the foot. What is the most appropriate initial diagnostic test?
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