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Asked by ProfMantis2888
69 year old male Complains of excruciating left leg pain Reports sudden onset 45 minutes ago while sitting on a bench at the shopping mall Reports that he has previously had occasional left leg aching discomfort when walking long distances Additional History: 75 pack/year smoking history Father died of myocardial infarction at age 78 Mother is alive and suffers from hypertension & cerebrovascular disease Physical findings: Left leg is cyanotic, distal to the knee, cool to touch Right leg is pink & warm Doppler of the left dorsalis pedis and posterior tibialis pulses reveals decreased pulses with faint bruits heard Diagnostic tests: Triglycerides = 315 mg/dl (N:<160) Cholesterol = 353 mg/dl (N:<200) HDL = 40 mg/dl (N:40-50) LDL = 165 mg/dl (N:<100) Urine is positive for myoglobin Questions: - What's the possible condition the patient is suffering from? - What is the pathophysiology of this condition? - What are the risk factors from the patient's history that may contribute to this condition? - What are the main arterial changes that may be contributing to the patient's symptoms? - What is your final diagnosis? SCIENCE HEALTH SCIENCE NURSING

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