Bilateral Exertional Calf Pain

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Bilateral Exertional Calf Pain - Page #3

Other Studies: Portable Ultrasound: Normal triphasic flow in the popliteal artery in PDI mode. However, with gentle active plantar flexion and passive dorsiflexion there was complete cessation of flow <br>MRI/MRA: Medial and lateral heads of the gastrocnemius muscles were normal with no abnormal soft tissue identified in between arteries or veins. <a href="CaseStudyImages/CS1BilateralExertion-170.jpg" title="Case Photo #1" data-lity><b>Case Photo #1</b></a> <a href="CaseStudyImages/CS2CS1BilateralExert-170.jpg" title="Case Photo #2" data-lity><b>Case Photo #2</b></a> <a href="CaseStudyImages/CS3CS2CS1BilateralEx-170.jpg" title="Case Photo #3" data-lity><b>Case Photo #3</b></a> No focal occlusion or high-grade stenosis was identified. <br>Compartment testing: Mildly elevated but not diagnostic Consultations: Given inconsistent findings for popliteal artery entrapment syndrome, patient was referred for additional work-up and evaluation. ABI testing was positive for claudication with provocation <br>Right ABI: Rest 1.03, Plantar flexion 0.69, Dorsiflexion 0.79 <br>Left ABI: Rest 1.01, Planter flexion 0.54, Dorsiflexion 0.45 Click here to continue. Challenge yourself by writing down a revised, working diagnosis before moving to the next slide.		Back
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