94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout. The clinical findings of critical limb ischemia - dry scaly skin, nail changes, absent pulses and a punched out ulcer on the 2nd toe - were ignored. Popliteal artery occlusion treated with atherectomy.
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
62 year old female with 2 months of short distance claudication and rest pain at night