101 year old female, admitted to the hospital with foot and toe pain. Patient had a cool pulseless foot. CT Angiography showed multilevel peripheral arterial disease. No physiologic testing was done. Patient told the pain was due to an ingrown toe nail and sent home on narcotics. The patient went to podiatry and was correctly diagnosed as having critical limb ischemia.
Nutcracker syndrome is one of the causes of secondary pelvic congestion syndrome.
Unusual cause of extremity pain in a diabetic patients
Ultrasound of Incompetent SaphenoFemoral Junction Valve