Table 5.1.

Evaluation for Lower Extremity Atherosclerotic Disease—Potential Signs and/or Symptoms

Indication		Appropriate Use Score (1–9)
105.	• Lower extremity claudication	A (9)
106.	• Leg/foot/toe pain at rest	A (9)
107.	• Foot or toe ulcer or gangrene	A (9)
108.	• Infection of leg/foot without palpable pulses	A (9)
109.	• Suspected acute limb ischemia (eg, cold, painful limb with pallor, pulselessness, parasthesias)	A (9)
110.	• Nocturnal leg cramps • Normal pulses	I (2)
111.	• Lack of hair growth on dorsum of foot or toes • Normal pulses	I (2)
112.	• Evidence of atheroemboli in the lower extremities	A (8)
113.	• Lower extremity swelling • Normal pulses	I (2)
114.	• Diabetes with peripheral neuropathy • Normal pulses	I (3)

A = appropriate; I = inappropriate.