Table 5.1

Evaluation for Lower Extremity Atherosclerotic Disease—Potential Signs and/or Symptoms

IndicationAppropriate Use Score (1–9)
105.
  • Lower extremity claudication

A (9)
106.
  • Leg/foot/toe pain at rest

A (9)
107.
  • Foot or toe ulcer or gangrene

A (9)
108.
  • Infection of leg/foot without palpable pulses

A (9)
109.
  • Suspected acute limb ischemia (e.g., cold, painful limb with pallor, pulselessness, parasthesias)

A (9)
110.
  • Nocturnal leg cramps

  • Normal pulses

I (2)
111.
  • Lack of hair growth on dorsum of foot or toes

  • Normal pulses

I (2)
112.
  • Evidence of atheroemboli in the lower extremities

A (8)
113.
  • Lower extremity swelling

  • Normal pulses

I (2)
114.
  • Diabetes with peripheral neuropathy

  • Normal pulses

I (3)

A = appropriate; I = inappropriate.