The Rational Clinical Examination
David L. Simel, Drummond Rennie
Peripheral Arterial Disease
David L. Simel
Make the Diagnosis: Peripheral Arterial Disease
ankle brachial ratio, criterion standard comparisons (diagnostic tests), diagnosis, likelihood ratio, lower limb pain, make the diagnosis, peripheral vascular diseases, physical examination, prior probability, probability, reference standards
"Clinical examination findings for peripheral arterial disease
of the legs must be interpreted in the context of the pretest probability.
The prevalence varies with risk factors, but for general screening
age is an important risk factor. By age 60, the prevalence of asymptomatic
peripheral arterial disease is 5% and increases to 12% by
age 70.1,2 Patients 60 years and older with leg
discomfort have a peripheral arterial disease prevalence of 15%.3..."
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