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Veiny feet pictures

   01.03.2019  2 Comments

Although a recent history of a painful foot may indicate gout or cellulitis, a diagnosis of severe ischaemia should always be suspected, even when the foot is erythematous. Failure to recognise severe foot ischaemia can have an adverse impact on the outcome for the patient—and may have legal consequences for the doctor—as the three cases discussed below illustrate. Three days later the condition had not improved. The woman was eventually admitted to hospital by another general practitioner, who believed that she might have ischaemia as he had difficulty detecting a pulse. Physical examination showed that the foot was erythematous while dependent but cool to the touch and pale when it was raised. The patient was investigated by Doppler ultrasonography and arteriography, and ischaemia was confirmed. Femoropopliteal artery bypass surgery was carried out, and this relieved the pain.

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