Table 4.1.

Evaluation for Abdominal Aortic Disease—Signs and/or Symptoms

Indication		Appropriate Use Score (1–9)
59.	• Lower extremity claudication	A (7)
60.	• Nonspecific lower extremity discomfort	I (3)
61.	• New onset abdominal or back pain	U (6)
62.	• Aneurysmal femoral or popliteal pulse	A (8)
63.	• Pulsatile abdominal mass	A (9)
64.	• Decreased or absent femoral pulse	A (7)
65.	• Abdominal or femoral bruit	A (7)
66.	• Fever of unknown origin	I (3)
67.	• Lower extremity swelling	I (2)
68.	• Evidence of atheroemboli in the lower extremities, including ischemic toes	A (8)
69.	• Erectile dysfunction	U (4)
70.	• Abnormal physiologic testing indicating aortoiliac occlusive disease	A (8)
71.	• Hypertension	I (3)
72.	• Abnormal abdominal x-ray suggestive of aneurysm	A (8)
73.	• Presence of a lower extremity arterial aneurysm (eg, femoral or popliteal)	A (8)
74.	• Presence of a thoracic aortic aneurysm	A (8)

A = appropriate; I = inappropriate; U = uncertain.