64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft. The later graft failed and the patient was told there were no other options to restore blood flow. Endovascular reconstruction of the popliteal artery and tibioperoneal trunk restored blood flow and wound healing was achieved.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.
55 year old female that underwent a skin biopsy with non healing of the biopsy site at 7 weeks.