Instructions
You are a medical student on placement in the vascular surgery clinic. Lloyd Hatcher, 69, has severe left calf pain after walking 50 metres. His CT angiogram is back and the surgeon is considering a bypass.
Perform a focused examination
Explain your findings and the CT result to Mr Hatcher
Counsel Mr Hatcher on bypass surgery and lifestyle change and agree a plan
- You do not need to take a history
- Findings will be given on request
CT angiogram
18 cm left superficial femoral artery occlusion, refilling above the knee. Not suitable for a stent.