1st April 2022

A 70-year-old man presents with a 5-hour history of a painful left foot

A 70-year-old man presents with a 5-hour history of a painful left foot. It came on over the course of a few minutes, is now constant, and is exacerbated by lower limb elevation. His left leg and foot appear paler than his right leg and foot. His posterior tibial and dorsalis pedis pulses are impalpable bilaterally.

What is the most likely diagnosis?

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