1. Nirmala devi 50 years/ Female
Chief complain-
1-Angina on exertion (NYHA grade II) for 6 months
2-Intermittent claudication (Fontaine stage II) lt
lower limb for 6 months
3-Gradual blackening(gangrene) of Lt foot for 2
months
Past h/o-
K/C/O DM Type 2 and essential hypertension for 10
years on irregular treatment in the form of oral tablets.
6. 2D ECHO-
No RWMA,LVEF 60%
Grade I DD
Concentric LVH
Rest normal study
Colour doppler lower limbs-
Lt LL- Diffuse thrombus in proximal and mid SFA (67%
stenosis) with obstructed flow in popliteal,distal ATA and
DPA.
Rt LL-Normal study