Peripheral Vascular Disorders
Arterial vs Venous
Chest Pain
Lymph Disorders & Edema
Clinical Reasoning & Next Steps
100

This condition presents with cold, pale extremities due to reduced arterial flow.

Chronic arterial insufficiency

100

This type of ulcer is typically on the dorsum of the foot and slow to heal.

arterial ulcer

100

Stabbing sternal pain reproduced on palpation most likely involves this system.

musculoskeletal system

100

This condition involves linear red streaks extending along lymphatic channels

lymphangitis

100

A Wells score of 5 with negative ultrasound warrants this follow-up plan.

repeat ultrasound in 6–8 days

200

A Simplified Wells score of 6 requires this next step.

proximal ultrasound

200

Warm, erythematous skin with stasis dermatitis is characteristic of this disorder.

chronic venous insufficiency

200

"Ripping” chest pain radiating to the back with pulse discrepancies suggests this diagnosis.

dissecting aortic aneurysm

200

Lymphedema initially presents as soft and pitting, then progresses to this texture.

indurated and nonpitting

200

A 23-year-old with leg redness, fever, and inguinal lymphadenopathy likely has either of these two conditions.

lymphangitis, cellulitis

300

This condition involves color changes in digits triggered by exposure to cold. 

Raynaud's phenomenon

300

A patient with unilateral leg swelling and tenderness in the groin following a long car ride may be at risk for this complication.

pulmonary embolism

300

This viral infection causes a vesicular rash along a dermatomal distribution.

herpes zoster

300

Bilateral pitting edema is best assessed at these anatomical locations.

Over bony prominences - medial malleolus, anterior tibia, dorsum of foot

300

Severe leg pain after trauma, rubor, and burning worsening over one hour requires this intervention.

immediate surgical referral for fasciotomy (acute compartment syndrome)

400

This emergent vascular disorder may cause pallor, paresthesia, pulselessness, and paralysis.

Acute compartment syndrome

400

This test compares systolic pressures in the arm and ankle to evaluate PAD.

ankle-brachial index

400

This physical exam finding is most diagnostic for deep vein thrombosis.

asymmetric calf diameter

400

This inflammatory condition causes tender red nodules on the shins, often seen in pregnancy.

erythema nodosum

400

Primary Raynaud’s phenomenon should be managed with these tools.

hand warmers, gloves, and a heated steering wheel etc

500

PAD refers to disease of these major vessel groups.

Abdominal aorta, its renal and mesenteric branches, and lower extremity arteries.

500

The USPSTF recommends AAA screening in this population

men aged 65–75 who have smoked

500

This imaging pair is most appropriate for spontaneous pneumothorax

chest CT and chest X-ray

500

These three systems should be considered first in a patient with bilateral lower extremity edema.

heart, liver, kidney

500

The triad of fatigue, leg swelling, and JVD in a chronic drinker suggests referral for this evaluation of this organ.

liver