Professional Practice Guide -FCSV-EN

13 1. Do you experience pain or discomfort in one leg when you walk? Yes No I am unable to walk If yes, continue the questionnaire. If no, do not continue. 2. Does this pain sometimes begin when you are standing still or sitting? Yes No 3. Do you experience this pain when walking uphill or when walking fast? Yes No 4. Do you experience it when walking at a normal pace on level ground? Yes No 5. What happens to the pain when you stop walking? It usually persists for more than 10 minutes. It usually disappears within 10 minutes or less. 6. Where do you feel this pain or discomfort? In the buttocks, thighs, or calves? Buttocks Thighs Calves Intermittent claudication is considered present when the responses are as follows: Q. 1: Yes Q.2: No Q.3: Yes Q.4: Yes (severe claudication) or No (mild claudication) Q.5: 10 minutes or less Q.6: Pain in the buttocks, thighs, or calves, and not in the joints Ӌ TABLE 1. Ӌ EDINBURGH QUESTIONNAIRE FOR INTERMITTENT CLAUDICATION Arterial disease not related to atherosclerosis Vasculitis Endofibrosis of the external iliac artery Popliteal artery entrapment Atheroembolism Venous claudication Compartment syndrome Neurologic causes Spinal stenosis Lumbar radiculopathy Ӌ TABLE 2. Ӌ DIFFERENTIAL DIAGNOSES OF PERIPHERAL ARTERY DISEASE Stage Clinical Description I Absence of symptoms IIa Mild or non-limiting claudication IIb Moderate, severe, or limiting claudication III Rest ischemia IV Gangrene or ulceration Source: Norgren I, Hiatt WR, Dormandy JA et al. Inter- Society Consensus for the Management of Peripheral Arterial Disease (TASC II). J Vasc Surg 2007; 45 (suppl. S): S5–S67. Reproduction authorized. Ӌ TABLE 4. Ӌ LERICHE AND FONTAINE CLINICAL CLASSIFICATION for the Management of Peripheral Artery Disease