Critical limb ischemia misdiagnosed as gout

about this presentation

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.

More Seldinger Files

VaricoceleVaricocele Embolization in a High School Athlete

Painful varicoceles interfering with high school athletics

Critical Limb IschemiaChiba Needle Sharp Recanalization for CLI

Sharp recanailziation of a heavily calcified SFA occlusion

Leg & Foot UlcersAnkle ulcer for 6 years

86 year old male with a recurring painful left ankle ulcer