Clinical Case Database / Category: Patient Management

Management of acute & acute on chronic leg ischaemia

Publication details

M Kay, AD Fox
Foundation Years Journal, volume 7, issue 5, p.44 (123Doc Education, London, May 2013)

Abstract

A 55 year old male type 2 diabetic (NIDDM) was referred to the surgical admissions unit unwell with signs of sepsis and a painful right foot. There was no history of trauma but symptoms of claudication were evident on direct questioning. Over the last 2 weeks he had struggled to mobilise on his painful foot and had been housebound as a result, being cared for by his wife. Overnight he developed increasing pain and partial numbness in his foot at rest.

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Authors

M Kay

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AD Fox

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References

1. Davies C and Shearman C. Chronic lower limb ischaemia, critical ischaemia and the diabetic foot. In: Postgraduate Vascular Surgery, first edition, Cambridge University Press, Chapter 3, page 59.
2. Klinkert P, Post PN, Breslau PJ, van Bockel JH. Saphenous vein versus PTFE or above-knee femoropopliteal bypass. A review of the literature. European Journal of Vascular and Endovascular Surgery. 2004 April;27(4):357-62
3. Twine CP and McLain AD. Graft type for femoro-popliteal bypass surgery. Cochrane Database systematic review. 2010 May 12;(5):CD001487
4. Kessel D and Robertson I. In: Interventional radiology, Third edition, Churchill Livingstone, Elsevier Limited 2011, page 7.
5.Meldon S, Brady W, Young JS: Presentation of Ehlers-Danlos Syndrome: Iliac Artery Psedoaneurysm Rupture Annals of Emergency Medicine 1996 August 28(2):231-234
6. Ruby ST, Kramer J, Cassidy SB, Tsipouras P: Internal Carotid Artery Aneurysm: Vascular manifestation of type IV EDS
7. Serry C, Agomuoh OS, Goldin MD Review of Ehlers-Danlos Syndrome. Successful repair of rupture and dissection of abdominal aorta J Cardiovasc Surg, 29, 1988 530-544
8. Witz M, Lehmann JM.Aneurysmal arterial disease in a patient with Ehlers-Danlos Syndrome. J Cardiovasc Surg 1997;38;161-3

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About the Clinical Cases Database

T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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