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.
59 year old male, smoker, sudden onset of pain and discoloration of the right 3rd toe.
55 year old female that underwent a skin biopsy with non healing of the biopsy site at 7 weeks.
83 year old developed non healing ulcer left foot after occlusion of a known popliteal artery aneursym