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MMLU / Five years after being shot in the right thigh, a 21-year-old man comes to the…

Problem

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question

Five years after being shot in the right thigh, a 21-year-old man comes to the emergency department because of a buzzing sensation adjacent to the scar. At the time of the initial wound, he was discharged after 6 hours of observation with no fractures or soft-tissue swelling. A loud murmur is heard on auscultation; there is a thrill. He has dilated varicose veins with incompetent valves in the lower leg. Which of the following is the most likely diagnosis?

choices

  1. Arterial spasm
  2. Arteriovenous fistula
  3. Deep venous thrombosis
  4. Occlusion of the superficial femoral artery

subject

professional_medicine

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