Submitted by Charles A. Andersen, MD, FACS, MAPWCA
A 62 year old diabetic male presents to the hospital wound care clinic with pain in his right foot and wounds on his toes. The patient states that he has been having pain in his calf with ambulation for the past 2 years. His pain initially occurred after ambulating two blocks and was relieved by rest. Over the past 6 months his walking distance has gradually decreased, now the patient states he can only walk a few feet and has pain at night relieved by hanging his foot over the side of the bed. He now has wounds involving his toes.
Part 1: Many patients especially patients with diabetes have very significant PAD have no symptoms.
Part 2: Because the patient has diabetes he probably has small vessel disease and should be taken to the OR for a BK Amputation
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