Poor Perfusion Or Elevated Pressures? An Exertional Lower Limb Pain Conundrum

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Poor Perfusion Or Elevated Pressures? An Exertional Lower Limb Pain Conundrum - Page #3

Lab Studies: None Other Studies: Right lower leg compartment pressure testing: Anterior Pre-exercise: 21mmHg Lateral Pre-Exercise: 25mmHg Anterior 1-min post-exercise: 33mmHg Lateral 1-min post-exercise: 35mmHg MRI: Congenital lateralized take-off of gastrocnemius medial head with unusual popliteal vessel course and mass effect. CT Angiogram: Right popliteal artery opacified and visible above the knee Case Photo #1 . Right popliteal artery completely vanishes in the popliteal fossa distal to the genicular branching arteries Case Photo #2 . The artery is reconstituted just proximal to the artery's trifurcation (Anterior Tibial, Posterior Tibial, Peroneal Arteries) Case Photo #3 . Arterial Duplex Ultrasound: Mid and distal popliteal artery possibly occluded at rest, flow changes with dorsiflexion and plantarflexion Consultations: Vascular Surgery Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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