38 year old female with deep venous thrombosis 14 years ago while on birth control pills. Second DVT shortly after discontinuing anti-coagulation. Hematologic work up showed the patient to have Protein S deficiency. Patient suffered with severe post thrombotic syndrome eventually resulting in venous ulceration 8 years ago. Patient suffered with a chronic ulcer that was eventually healed after venoplasty of the femoral and popliteal veins.
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.
Current physiologic testing for ulcer perfusion may fail to identify patients with ischemia
Painful varicoceles interfering with high school athletics