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.
Review of the clinical findings and their usefulness in identifying patients with peripheral arterial disease
22 year old with severe post thrombotic syndrome 6 months after left leg deep venous thrombosis (DVT).
94 year old female, worsening right toe and foot pain. Seen by primary care and diagnosed as having gout.