Table 4.1

Evaluation for Abdominal Aortic Disease—Signs and/or Symptoms

IndicationAppropriate Use Score (1–9)
59.
  • Lower extremity claudication

A (7)
60.
  • Nonspecific lower extremity discomfort

I (3)
61.
  • New onset abdominal or back pain

U (6)
62.
  • Aneurysmal femoral or popliteal pulse

A (8)
63.
  • Pulsatile abdominal mass

A (9)
64.
  • Decreased or absent femoral pulse

A (7)
65.
  • Abdominal or femoral bruit

A (7)
66.
  • Fever of unknown origin

I (3)
67.
  • Lower extremity swelling

I (2)
68.
  • Evidence of atheroemboli in the lower extremities, including ischemic toes

A (8)
69.
  • Erectile dysfunction

U (4)
70.
  • Abnormal physiologic testing indicating aortoiliac occlusive disease

A (8)
71.
  • Hypertension

I (3)
72.
  • Abnormal abdominal x-ray suggestive of aneurysm

A (8)
73.
  • Presence of a lower extremity arterial aneurysm (e.g., femoral or popliteal)

A (8)
74.
  • Presence of a thoracic aortic aneurysm

A (8)

A = appropriate; I = inappropriate; U = uncertain.