Document Detail

Painful black toe - a case study.
MedLine Citation:
PMID:  22962648     Owner:  NLM     Status:  In-Data-Review    
BACKGROUND: Critical limb ischaemia refers to an advanced form of peripheral vascular disease where severe arterial occlusion manifests as chronic ischaemic rest pain, nonhealing ulcers and gangrene. Depending on the severity of disease and level of occlusion, endovascular revascularisation and vascular surgical bypass are indicated to salvage the limb before the inevitable lifesaving choice limb amputation.
OBJECTIVE: This article illustrates a clinical scenario in which, without any intervention, the ischaemic anatomy may dry up and mummify. It is a remarkable reminder of the natural history of such events.
DISCUSSION: Medical management including analgesia, wound care, infection control and aggressive modification of atherosclerotic risks factors may contribute to a better prognosis. For inoperable cases, pneumatic compression and spinal cord stimulation can be considered to relieve symptoms and improve wound healing.
Lawrence Leung
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Australian family physician     Volume:  41     ISSN:  0300-8495     ISO Abbreviation:  Aust Fam Physician     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-09-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0326701     Medline TA:  Aust Fam Physician     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  704-6     Citation Subset:  IM    
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