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.
Iliac vein compression may cause pelvic venous congestion.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.