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.
71 year old female with a non healing ulcer on the left foot.
65 year old cyclist with extensive superficial and deep venous incompetence and venous ulceration
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease