The clinical evaluation of peripheral arterial disease (PAD) is difficult and yet critically important so that patients receive the care they need. The greatest problem is that clinical evaluation is limited in excluding significant PAD. In short, none of the various clinical findings have a high negative predictive value for PAD. Even simple pulse palpation is fraught with error. All patients with non healing ulcers or wounds or with exertional leg pain should undergo objective physiologic testing.
Recurrent left testicular pain after inadequate embolization of the proximal left testicular vein
86 year old female with a several month history of a painful non-healing ulcer over the lateral malleolus.
Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up