1st April 2022

A 69-year-old woman has a 5-hour history of a cold and painful right leg

A 69-year-old woman has a 5-hour history of a cold and painful right leg. She has a past medical history of type 2 diabetes mellitus and hypertension. She takes metformin and amlodipine. 

Her pulse is 80 bpm with an irregular rhythm. Her ECG shows irregularly irregular rhythm. All lower extremity pulses are palpable, although arterial doppler scanning demonstrates reduced flow velocity for the right leg and foot. Motor and sensory examination are normal.

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