An elderly female without prior history of cardiovascular disease reports lower leg soreness and fatigue when shopping or walking in the neighborhood. The primary care provider notes decreased pedal pulses bilaterally. Which test will the provider order initially to evaluate for peripheral arterial disease based on these symptoms?

This is Doppler ankle arm  brachial index

Explanation:

This is the appropriate test for this woman because of  difficulties experienced with her mobility. It  makes use of the differences in the  data obtained from the comparison of  blood pressure(systolic) measured at the ankle with the one obtained at the arm. The pressure is measured with the Doppler Ultrasound blood flow detector and with Sphygmomanometer cuff.

The comparison is  an indicator of her symptoms causes which may be due  to obstruction or narrowing of the arteries in her legs. The conclusion from these will  form the basis for her diagnosis for possible peripheral arterial diseases.