Leg & Foot Ulcers
Misdiagnosed Painful Toe
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.
Read MoreUlceration due to External Iliac Vein Compression
A 65-year-old male presented with a right lower extremity venous ulcer. During workup, the patient was found to have extensive incompetence of the superficial and deep venous systems. This prompted evaluation for venous outflow obstruction. CT Venography showed compression of the proximal right external iliac vein at the right common iliac artery bifurcation between the external…
Read MoreNon-Healing Ulcer After Skin Biopsy
A 55-year-old female with ulceration after a skin lesion was removed from the posterior calf. Lesion turned out to be a basal carcinoma. Seven weeks after the surgery, the patient had a large area of ulceration with copious drainage of fluid. The patient returned to the physician that did the procedure was told to continue…
Read MoreVascular Evaluation in Patients with Lower Extremity Ulceration
Lower extremity wounds are complex and challenging for patients, families, and healthcare providers. Most lower extremity ulcers are secondary to either or both arterial and venous problems. A comprehensive history and physical assessment followed by appropriate imaging are essential to identify, diagnose and develop care plans. Dedicated vascular specialists should be involved in the care…
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