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.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.