Case 339 Medical history Male, 72 years, smoker, hypertensive, alcohol consumer for 52 years. Hospitalized due to severe ischemia on the left 2 through 5 digits, with 30 days of evolution, associated with pain at rest on the proximal area of the left hand. On the physical examination, the blood pressure on the right arm was 134/78mmHg and on the left arm was 126/62mmHg. Troponin I = 0,012ng/mL (normal range < 0,034). Image 1: Patient’s left hand photograph. Question Considering the clinical history and the presented image, which is the most probable diagnosis? Peripheral obstructive arterial disease Peripheral arterial embolism Raynaud’s phenomenon Thromboangiitis obliterans Test question ACM – Are recomendations for the control of the risk of developing peripheral obstructive arterial disease, EXCEPT: Statin use Hiking programs Restriction of alcohol consumption Blood pressure control Tobacco abstinence Time is Up! Time's up
