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.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.
59 year old male with short distance exercise induced left leg pain. Pain was severe and was interfering with the patients actively living.
67 year old male, type1 diabetic, with painful ulceration at the tip of the second toe. Patient did not toe amputation.