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.
79 year old female with non healing ulcers. Occlusion of all three arteries in the calf.
Active female with severe venous claudication 9 years after iliofemoral deep venous thrombosis.
62 year old female with 2 months of short distance claudication and rest pain at night