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.
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.
38 year old female with severe post thrombotic syndrome and severe venous ulceration for 8 years
Unusual cause of extremity pain in a diabetic patients