Case and Plan:
76 year old woman presenting with nonhealing left great toe skin ulcer and ischemic changes for 4 months (Rutherford class 3/ Category 5 , WiFi 131)
PMH: Hypertension, Hyperlipidemia, Diabetes, CAD, Pacemaker .
Medications: Aspirin, metformin, glipizide, atorvastatin 40 mg, furosemide
Social History: Non-smoker, no alcohol, no IVDU
