Thromboangitis Obliterans VS other vaso-occlusive disease - USMLE Forums
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Old 03-05-2013
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Default Thromboangitis Obliterans VS other vaso-occlusive disease

A 44 year old man is evaluated in the clinic for moderately severe pain in his bilateral lower extremities for the past 6 months. He describes pain that occurs at rest and is increased on walking. The pain is worse in winters. His history is significant for chronic smoking about 2 packs per day for the past 25 years. He denies any history of thrombosis. On examination, he is afebrile and heart sounds are regular. Distal lower extremities are tender to touch. An ulcer measuring 2cm is noted on the left great toe. Posterior tibial and dorsalis pedis artery pulses are diminished. There is erythema and tenderness along the course of great saphenous vein. Laboratory investigations including complete blood count, chemistry panel and anti-nuclear antibodies are with in normal limits. Which of the following is most helpful in distinguishing this disorder from other vaso-occlusive diseases?

A) Raynaud phenomenon

B) Superficial Phlebitis

C) Digital ulcers

D) Young age

E) Diminished arterial pulses
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Old 03-05-2013
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D) Young age
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Old 03-05-2013
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Default E) Diminished arterial pulses

E) Diminished arterial pulses
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Old 03-05-2013
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age 44 is not considered young for thromboangitis obliterans ...usually <40yrs
SUperficial thrombophlebitis..such that it affects the GSV, nerves and other structures differentiates it from other vaso-occlusive diseases
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