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.
83 year old male, Type I Diabetes, end stage renal disease, living independently who was told he needed a below knee amputation.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
Unusual cause of extremity pain in a diabetic patients