Surgery & perioperative · Explanation & counselling

Leg exam and bypass talk

Medium

15 min station · 2 min reading · Recommended for Curtin Year 5 students

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S N V Q

2 min reading · 15 min station · reminders at 2 min

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.

  1. Perform a focused examination

  2. Explain your findings and the CT result to Mr Hatcher

  3. 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.

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Investigations

Examination

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