Which one of the following is not a symptom of atherosclerotic occlusive disease at the bifurcation of aoa (Lehriche syndrome)?
**Core Concept**
Atherosclerotic occlusive disease at the bifurcation of the aortic arch (also known as Leriche syndrome) is a condition where the aorta and its two major branches, the common iliac arteries, are narrowed due to atherosclerosis, leading to reduced blood flow to the lower extremities and internal organs.
**Why the Correct Answer is Right**
Leriche syndrome typically presents with a triad of symptoms: **claudication** (pain in the legs or buttocks during exercise), **impotence**, and **hypertension**. The correct answer should not be part of this typical presentation.
**Why Each Wrong Option is Incorrect**
* **Option A:** Claudication is a classic symptom of Leriche syndrome, caused by reduced blood flow to the muscles in the legs.
* **Option B:** Impotence is another common symptom, resulting from decreased blood flow to the genitals.
* **Option C:** Hypertension is also a typical symptom, resulting from the body's compensatory response to decreased blood flow and subsequent activation of the renin-angiotensin-aldosterone system.
**Clinical Pearl / High-Yield Fact**
Leriche syndrome is often associated with a palpable abdominal aortic bruit (a sound heard over the aorta) due to turbulent blood flow.
**Correct Answer:** D.