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Clerkship - Leg Pain

  1. Describe atherosclerosis, its etiology, prevention and sites of predilection.
  2. Discuss neurological vs. vascular etiologies of walking induced leg pain.
  3. Discuss musculoskeletal etiologies.
  4. Describe the pathophysiology of intermittent claudication.
  5. Discuss the diagnostic work-up of chronic arterial occlusive disease.
  6. Discuss the role of segmental Doppler studies and arteriography.
  7. Discuss the medical management of arterial occlusive disease.
  8. Discuss risk factors associated with arterial occlusive disease.
  9. Describe the etiologies and presentation of acute arterial occlusion.
  10. Discuss embolic vs. thrombotic occlusion.
  11. Discuss the signs and symptoms of acute arterial occlusion (the "P's").
  12. Discuss the medical and surgical management.
  13. Discuss the complications associated with prolonged ischemia and revascularization.
  14. Discuss the diagnosis and treatment of compartment syndrome.
  15. Describe the differential diagnosis, location, appearance and symptoms of leg ulcers due to:
    • Arterial disease
    • Venous stasis disease
    • Neuropathy
    • Infection
    • Malignancy
  16. Discuss how to differentiate lymphedema from venous stasis.
  17. Describe the factors that lead to venous thrombosis and embolism.
  18. Discuss the usual locations for thrombosis.
  19. Discuss differing implications of deep and superficial venous thrombophlebitis.
  20. Discuss the common invasive and noninvasive diagnostic tests for DVT.
  21. Discuss methods for DVT prophylaxis and identify high-risk patients.

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