Case history

Case history #1

A 36-year-old male smoker presents with a painful forefoot, which is worse at night, with no history of claudication. Examination confirms a sinus heart rhythm with a cold, pulseless foot with ulceration at the distal phalanges. Femoral and popliteal pulses are present, but foot pulses are absent.

Case history #2

A 35-year-old female smoker with a history of Raynaud's phenomenon presents with a cold, painful fingertip with ulceration. Examination reveals absent brachial, ulnar, and radial pulses.

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