JuanPabloDeLaVega

Otolaryngology Resident

Patient Case Description

73 year old male patient presents to the clinic with a history of foot pain and bad smell; 3 weeks of evolution starting first on the hallux, progressing to 2nd and 3rd fingers, 2nd finger had been amputated 2 weeks prior in a private clinic and was discharged soon after. Currently missing anterior tibial and pedal pulses. Popliteal pulse is present.

The foot is cold and patient refers constant pain 3/10.

Relevant history includes smoking habit of 1 package a day for the previous 20 years and hypertension of 22 years.

Prognosis and management?

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