A 78 year old woman has pain in her left thigh and calf on walking for 8 weeks

A 78 year old woman has pain in her left thigh and calf on walking for 8 weeks. The pain is relieved with rest. She has a 40 pack-year smoking history.

Her left popliteal and pedal pulses are not palpable.

Investigation:
Hand held Doppler: monophasic waveform in her left Dorsalis Pedis artery.

Which is the most likely site of arterial pathology?

  1. Anterior Tibial
  2. Dorsalis Pedis
  3. External Iliac
  4. Internal Iliac
  5. Profunda Femoris

C. External Iliac

Explanation: