Rest pain in a 104 year old female

about this presentation

104 year old female, treated 3 years earlier for critical limb ischemia of the right foot. Now presents with a 2 month history of worsening left foot rest pain. Unable to sleep for more than 2 hours. She lives independently with her 84 year old daughter.

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Critical Limb IschemiaCritical limb ischemia, failed bypass graft

64 year old male, type 1 diabetes, with a prior femoral to politeal bypass graft and a subsequent poplileal to tibial bypass graft.

Critical Limb IschemiaRest pain in a 104 year old female

104 year old female with worsening left foot rest pain

Venous ThrombosisRecurrent Left Leg Deep Venous Thrombosis

Recurrent lower extermity DVT should prompt an investigation for venous outflow obstruction. Too often these patients are under treated.