May 14, 2023
A 65-year-old man presents with an ulcer on the dorsum of his right foot. He noticed a sore area on the right foot 3 weeks ago and this has extended to an ulcerated lesion which is not painful. He has complained of pain in the legs for some months. This pain comes on when he walks and settles down when he stops.
He had an inguinal hernia repaired 2 years ago and he stopped smoking then on the advice of the anaesthetist. Previously he smoked 20 cigarettes per day. He drinks four pints of beer at weekends. His father died of a myocardial infarction aged 58 years.