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Case 19: Dead toe

This 69 year old man presented worried about the apperance of his toe.

1. Describe the appearance of the toe marked 'A'?

This toe is gangrenous. The characteristic colouration, shrunken prune-like skin appearance and nail bed pallor confirm this.

2. What do you think has been marked with a cross at 'B'?

There is a cross marked with pen. This is most likely over the dorsalis paedis artery.

3. What is 'C'?

This is a permanent ink mark outlining the extent of cellulitis.

4. What is seen in the background marked 'D'?

A hand-held doppler transducer. For assessment of the pulse site and waveform.

4. If there was a strong pulse felt at 'B', what do you think the patients main predisposing condition would be?

Diabetes. Demonstrating a predominant microvasculopathy.

Diabetic Foot Problems----APDVS diabeticfoot.org.uk/

Powerpoint presentation - Management of the diabetic foot