A 74-year-old man presents to the physician for a one-week history of pain and erythematous skin changes of his left foot. He has alcoholic liver disease, type II diabetes mellitus, and COPD. He has smoked one pack of cigarettes daily for 50 years. Last year he underwent repair of an abdominal aortic aneurysm. Vitals are: temperature 99.0 F, HR 72, RR 16, BP 150/100. His HbA1c is 9.5%. A photograph of his left foot is shown.
Which of the following is the most likely explanation for these findings?
Defective diapedesis of leukocytes
Diminution of joint sensation
Embolic disease
Hepatocutaneous syndrome
Thromboangiitis obliterans
—
Cut-to-the-chase Answer (0:30):
—
HY USMLE Answer (4:40):
