Lower Leg
17.2 Causes of lower leg ulceration.\n\nclaudication, are likely to be due to arterial disease.
What our notes say
- 17.2 Causes of lower leg ulceration.\n\nclaudication, are likely to be due to arterial disease. (Davidson's Essentials of Medicine - 2nd)
- It passes anterior (not posterior) to the medial malleolus, ascends the medial leg, and is only accompanied by the saphenous nerve in the lower leg. (Anatomy Must-Know — Lower Limb MCQs, Section 3 (Part 3 of 4))
- It passes ANTERIOR to the medial malleolus (not behind), and is only accompanied by the saphenous nerve in the lower leg. (Anatomy Must-Know — Lower Limb MCQs, Section 2 (Part 2 of 4))
- Regarding the extensor compartment of the lower leg, all of the following statements are true EXCEPT: (Anatomy Must-Know — Lower Limb MCQs, Section 2 (Part 2 of 4))
- A 54-year-old man presents with chronic, bilateral lower leg swelling and a shallow, irregular ulcer above the medial malleolus. (Peripheral vascular disease)
- Case: A 42‑year‑old man with poorly controlled diabetes presents with a 3‑day history of a painful, swollen left lower leg. (Skin and soft-tissue infections)
Study material on Lower Leg
- Aponeurosis Anatomy Question Bank — Pelvis, Thigh, Knee & Lower Leg (Part 1 of 3)
- Davidson's Essentials of Medicine - 2nd
- Anatomy Must-Know — Lower Limb MCQs, Section 3 (Part 3 of 4)
- Lower Limb Anatomy MCQ Compilation — Set 3a (Part 3 of 4)
Practice questions on Lower Leg
A 51-year-old woman has 5 months of progressive lower leg swelling. CXR shows bilateral pleural effusions and prominent right heart border. AST, ALT, and LDH are elevated; CK is normal. Most likely underlying disease?
- Recurrent thromboembolism
- Goodpasture syndrome
- Bronchial asthma
- Renovascular hypertension
Answer: A. Recurrent pulmonary emboli → pulmonary hypertension → right heart failure → hepatic passive congestion → elevated transaminases and LDH but normal CK (no myocardial ischemia).