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Clinical Crossroads Update
October 28, 1998

A 52-Year-Old Woman With Diabetes and Claudication, 1 Year Later

Author Affiliations

From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

 

Clinical Crossroads section editor: Margaret A. Winker, MD Senior Editor, JAMA

JAMA. 1998;280(16):1439. doi:10.1001/jama.280.16.1439

In October 1997, at Surgery Grand Rounds, Martha McDaniel, MD, discussed the management of a middle-aged woman with diabetes, coronary artery disease, end-stage disease, and claudication that was impairing her ability to walk short distances. Dr McDaniel discussed the treatment options for the patient (medication, exercise, and anatomic intervention with angioplasty or surgery) and her prognosis. We asked the patient and her physicians to comment on the year that has passed. [Editor's note: The patient, Mrs D, declined a follow-up interview.]

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