Case 3 – Pain in Legs

You are seeing Mr. Perera, a 68 year old male, in an outpatient clinic. He’s coming in today because he’s been getting pain in his legs for the last few months, and it’s getting worse. Please take a focused history of his complaint.


  • Onset and duration of pain
  • Quality of pain
  • Aggravating factors (pain is elicited by walking)
  • Distance travelled that elicits pain (2 blocks)
  • Alleviating factors
  • Intensity of pain
  • Radiation of pain
  • Pain at night
  • Neurologic symptoms, such as numbness or parasthesias
  • Leg trauma
  • Asks if both legs are affected (yes)
  • Foot ulceration
  • Lower limb infection
  • Shortness of breath
  • Recurrent chest pain
  • Personal history of myocardial infarction and stroke
  • Peripheral vascular disease
  • Diabetes
  • Dyslipidemia
  • Hypertension
  • Smoking history (quantity in pack-years)
  • Family history of cardiac or cerebrovascular events
  • Effect on daily activities
Case 3 – Pain in Legs