Added tag for form 12, b/c card directly answers the question, see below:
A 57-year-old man comes to the physician because of a 1-year history of low back pain that radiates to the buttocks when he walks. He has not had leg pain or pain at rest. The pain is relieved within 1 minute when he stops walking. He has a 1-year history of erectile dysfunction. He has smoked one pack of cigarettes daily for 30 years. His pulse is 85/min, and blood pressure is 160/100 mm Hg. Flexion of either hip with the knee
extended does not cause pain. Pedal pulses are decreased. Sensation is intact. His hematocrit is 40%, erythrocyte sedimentation rate is 20 mm/h, and serum glucose concentration is 180 mg/dL. Which of the following is the most likely diagnosis?
Ans: Aortoiliac occlusion
Aortoiliac occlusion, also known as iliac occlusive disease (Leriche syndrome), is a specific subtype of peripheral arterial disease (PAD) that presents with claudication, erectile dysfunction, and decreased lower extremity arterial pulses.