Patient is a 75 year old male with a history of hypertension, hyperlipidemia, CAD s/p CABG. History of PVD s/p failed left femoral to popliteal bypass x 2 at outside hospitals. He has had left 3rd and 4th toe amputations. He now presents with left dorsal foot ulcer and dry gangrene as well as ulceration between the 2nd and 5th toes (Rutherford Grade IV; Category 6; Fontaine Stage IV).
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