A 62-year-old man is brought to the emergency department 2 hours after the sudden onset of pain and coolness of his right leg. He is otherwise healthy except for mild hyperthyroidism treated with propylthiouracil. Examination of the lower extremities shows normal skin, nails, and hair growth patterns. Pulses are absent in the right lower extremity and normal on the left. Which of the following is the most likely diagnosis? A) Cellulitis B) Deep venous thrombosis C) Embolic arterial occlusion D) Lumbar disc herniation E) Rhabdomyolysis
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Acute limb ischemia is a surgical emergency and is most commonly caused by embolization of a thrombus from the heart (eg, atrial fibrillation, post-myocardial infarction) or aorta, or by in situ thrombosis of an atherosclerotic artery. The "six Ps" of acute limb Show more…
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