You told that physiological phimosis is uptil 2 years only

you told that physiological phimosis is uptil 2 years only, but in QB they say till 6 years.

An elderly man is bought to the emergency department with sudden on set severe pain and numberness of the left lower limb.

He has no previous history of any limb claudiction .

The limb appears to be cold and peripheral pulses are not palpable .

What is the most appropriate next steps

The above clinical scenario is suggestive of sudden arterial occlusion. The first-line management is intravenous heparin 5000 U.

Management of sudden arterial occlusion-

First-line management - Intravenous heparin 5000 IU. Postoperatively, heparin therapy is continued until long-term anticoagulation with warfarin is established

Definitive management (<6 hours) -

Embolectomy with Fogarty’s balloon catheter

Thrombolysis with tissue plasminogen activator (tPA)

A CT angiogram is performed after the procedure to ensure that the flow to the distal leg has been restored. Thank you.