Chronic kidney disease and myocardial infarction

Reference no: EM133626547

Question

A 73-year-old female with a past medical history of tobacco use, stage 3 chronic kidney disease (CKD), myocardial infarction, and hyperlipidemia comes in complaining of bilateral lower extremity swelling and intermittent pain with ambulation, both of which are present most of the time but do slightly improve with long periods of elevation. However, when placing the extremities in a dependent position again, they remain pale and dusky. The patient has bilateral 2+ lower extremity edema. Her lower extremities are also cool to the touch, with decreased sensation bilaterally. The patient has 2+ posterior tibialis pulses bilaterally. What is the gold standard for diagnosing this patient's disease?

Reference no: EM133626547

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