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
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.