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.
82 year old male, heavy smoker, developed right heel ulcer during rehab after a femur fracture.
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT).
61 year old male, diabetic, developed a lateral right foot ulcer after a pedicure. The posterior tibial artery pulse was palpable.