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.
Ultrasound of Incompetent SaphenoFemoral Junction Valve
Iliac vein compression may cause pelvic venous congestion.
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym