Bilateral Occlusion of th...

A 60-year-old male presented with a history of pain in both legs during physical activity, which improved with rest and did not involve altered leg sensation. Doppler imaging revealed a blockage in the right common femoral artery and severe narrowing of the superficial femoral artery. Consequently, the patient was admitted for interventional treatment. Upon examination, the patient was conscious, oriented, and afebrile, with no signs of pallor, jaundice, cyanosis, clubbing, lymph node swelling, or edema. Vital signs were within normal limits, including a temperature of 98.60°F, a pulse rate of 82 beats per minute, blood pressure of 120/80 mmHg, and oxygen saturation of 99% on room air. Cardiac and respiratory exams were unremarkable, and the abdomen was soft with normal bowel sounds and no tenderness. The patient had a known medical history of hypertension and a history of coronary artery bypass graft (CABG) surgery, for which he was taking medications. These medications included ECOSPRIN 75/20 mg, SODAMINT, PLETOZ 50 mg, OLMEZEST 40 mg, and CILACAR 10 mg. Family history did not reveal any significant medical issues. Relevant investigations showed low hemoglobin (Hb:10.9) and packed cell volume (PCV: 30.8) levels on June 1, 2023, and further blood tests on June 2, 2023, revealed decreased Hb (10.3), elevated neutrophil count (79), decreased lymphocytes (15), reduced red blood cell (RBC: 3.74) count, PCV (29.5) and a mean corpuscular volume (MCV: 79.0). The diagnosis was bilateral occlusion of the superficial femoral arteries (SFA) with severe stenosis of the right common femoral artery (CFA).