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20 yo F with elevated arm pressures and chronic leg claudication

A) Aortic dissection
B) Thoracic outlet syndrome
C) Deep vein thrombosis
D) Raynaud's phenomenon

1 Answer

3 votes

Final answer:

The question involves a case of elevated arm pressures and chronic leg claudication in a young female, indicative of peripheral artery disease (PAD), a condition where arteries narrow due to atherosclerosis and could lead to lower ankle blood pressures compared to the arm.

Step-by-step explanation:

The question pertains to a 20-year-old female with elevated arm pressures and chronic leg claudication. The correct answer is peripheral artery disease (PAD), which is not directly listed among the options but can be derived from the described symptoms. PAD is characterized by the narrowing of arteries due to atherosclerosis, commonly affecting the legs.

Peripheral artery disease symptoms include intermittent claudication, or leg pain during walking that resolves with rest. The diagnosis is made by comparing blood pressure readings between the ankle and upper arm, with PAD typically showing lower blood pressure at the ankle. Treatment and management are essential to prevent progression.

Given the options presented, the conditions most relevant to PAD would be thoracic outlet syndrome or atherosclerosis since they can both impact blood flow and potentially cause symptoms such as those described, though PAD itself is the underlying issue.

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