Critical limb ischemia misdiagnosed as gout

about this presentation

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.

More Seldinger Files

Critical Limb IschemiaPain misdiagnosed as in grown toe nail

101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.

ClaudicationSharp Recanalization of Thrombosed Popliteal Artery Aneurysms for Claudication and Rest Pain

Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.

Critical Limb IschemiaWire fragment retrieval from the dorsalis pedis artery

The tip of a hydrophilic wire was fractured and subsequently retrieved during the crossing of a distal anterior tibial artery near occlusion