Mr. K, a 57-year-old man, presents w/CC of bilateral claudication provoked by moderate exercise. Pt also states extended sitting w/o support of lower extremities results in bilateral lower extremity erythema and occasional pedal paresthesia. Contributing Social hx: Smoker: 30 pack years; little to no regular exercise.
Physical examination reveals an overweight male appearing his stated age. Hyperthermia and anterolateral alopecia noted bilaterally in the lower extremities.
Blood Tests:
Hypercholesteremia
Hypertriglyceridemia
Differential Diagnosis: Peripheral atherosclerosis, CHF, and peripheral vascular disease.
Questions
1. Explain how the disease process and development of atherosclerosis resulted in the presentation and lab results of Mr. K.
2. Discuss the complications that might develop in Mr. K.
3. Identify possible plan of care options that may include patient education, treatment options, necessary referral(s) and/or further diagnostic testing for Mr. K.