5th August 2020

An elderly lady has presented to her local practice in the past for worsening symptoms of intermittent claudication

An elderly lady has presented to her local practice in the past for worsening symptoms of intermittent claudication. Today she is complaining of pain when sitting down doing no activity. She is a type II diabetic, and despite efforts to improve her risk factors, she continues to smoke 20 cigarettes a day and has poor glycaemic control. You are concerned she may be developing Critical Limb Ischaemia. Upon examining her legs, you notice two arterial ulcers on the right foot with a necrotic exudate and an offensive odour. 

How should this patient be managed?

Which THREE of the following are correct? Select THREE options only.