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.
Short distance claudication and rest pain secondary to thrombosed popliteal artery aneurysm treated endovasculary.
51 year old female with a long history of low back pain, pelvic aching and heaviness, urinary frequency and painful intercourse.