., femoral, popliteal, dorsalis pedis and posterior tibial), auscultation for abdominal and femoral bruits and inspection of the legs and feet,8 ,19, 53, 82 although pulses can be nonspecific.8,83 Arterial palpation can identify a decrease in the amplitude of the pulse pressure, revealing proximal obstruction to blood flow, and can help to identify the disease location.84,85 For example, finding a normal pulse in the femoral artery and no pulse in the popliteal artery space in a patient with calf claudication would point to a severe stenosis or occlusion of the superficial femoral artery. A decreased femoral pulse signifies aortoiliac disease.86 Bruit, a sound heard through a stethoscope placed over the artery, is produced by the turbulence of blood flow in a stenotic arterial segment.87 The presence