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.
87 year old with severe left leg claudication limiting ability to walk more than 100 feet
101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot.