Snapshot A 65-year-old man presents with buttock and hip pain, particularly during exercise. He has no pain at rest. He also reports having chronic erectile dysfunction. His past medical history includes hyperlipidemia and coronary artery disease. He has a 20-pack-year smoking history. On physical exam, there are bilateral diminished +1 femoral pulses. His ankle-brachial index is 0.6 on the left and 0.7 on the right. Introduction Clinical definition login to view 1 more bullet Associated conditions login to view 1 more bullet Epidemiology Demographics login to view 2 more bullets Risk factors login to view 4 more bullets Etiology Atherosclerosis Pathogenesis login to view 2 more bullets Presentation Symptoms login to view 4 more bullets Physical exam login to view 3 more bullets Imaging Doppler ultrasonography login to view 4 more bullets Computed tomography (CT) login to view 6 more bullets Studies Ankle-brachial index login to view 2 more bullets Making the diagnosis login to view 1 more bullet Differential Sciatica login to view 3 more bullets Treatment Management approach login to view 1 more bullet Conservative login to view 6 more bullets Medical login to view 8 more bullets Operative login to view 9 more bullets Complications Acute ischemia login to view 2 more bullets Distal limb amputation