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.
Endovascular therapy of external iliac and common femoral artery occlusion with 31 month follow up
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.