• Peripheral Vascular Disease – 1 (one) page (2) referencesA 52-year-old man complained of pain and cramping in his right calf caused by walking twoblocks. The pain was relieved with cessation of activity. The pain had been increasing infrequency and intensity. Physical examination findings were essentially normal except fordecreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibialpulses were markedly decreased compared with those of his left leg: Answer the following questions:1. What was the cause of this patient’s pain and cramping?2. Why was there decreased hair on the patient’s right leg?3. What would be the strategic physical assessments after surgery to determine theadequacy of the patient’s circulation?4. What would be the treatment of intermittent Claudication for non-occlusion?• Lyme Disease – 1 (one) page (2) referencesA 38-year-old male had a 3-week history of fatigue and lethargy with intermittent complaintsof headache, fever, chills, myalgia, and arthralgia. According to the history, the patient’ssymptoms began shortly after a camping vacation. He recalled a bug bite and rash on histhigh immediately after the trip. Answer the following questions:1. What is the cardinal sign of Lyme disease? (always on the boards)2. At what stages of Lyme disease are the IgG and IgM antibodies elevated?3. Why was the ESR elevated?4. What is the Therapeutic goal for Lyme Disease and what is the recommended treatment.
