Which of the following represents the clinical presentation of a patient with critical lower limb ischemia?
Intermittent Claudication
Intermittent Claudication and gangrene
Rest pain and ischemic ulcers
Intermittent claudication and ischemic ulcers
Patient with critical limb ischemia has insufficient perfusion to sustain limb at rest, if left untreated such patients require amputation in 6 months. They experience pain at rest, ulcers and ischemic gangrene. Rest pain is exacerbated when lying supine and is improved by dangling the feet. Narcotics can also relieve the pain. Ref: Noninvasive Cardiovascular Imaging: A Multimodality Approach By Mario J. Garcia, Page 123; Schwaz's Principles of Surgery, 9th Edition, Chapter 23