Amputations in an Ischemic Limb

  • Kenneth R. Ziegler
  • Bauer Sumpio

Case Report

A 70 year old white male hospitalized for pneumonia is discovered to have a Stage IV heel ulcer on his left foot by the nursing staff. The patient describes no pain at the site of the ulcer, and has no previous history of sores on his lower extremities. He denies a history of diabetes, but states that he has been having progressive difficulty lately in walking distances due to cramps in his calves bilaterally. His past medical history is significant for hypertension and stable angina, for which he takes nitrates and a beta-blocker. His only previous surgery was a right inguinal herniorrhaphy 30 years ago. He admits to a 50 pack-year tobacco history, and still smokes.The ulcer appears to have a dark base on examination, with mild malodorous discharge. His heart rate is 84 bpm, blood pressure is 140/70 mmHg, and he is afebrile on examination. He is alert, awake, and normally conversant, but states that his prolonged bedrest has reduced his normal willingness to get out of bed...


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Vascular SurgeryYale University School of MedicineNew HavenUSA

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