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.
Painful varicoceles interfering with high school athletics
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.
71 year old female with a non healing ulcer on the left foot.