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Dr Herman Second Look Amputation Prevention Case

Dr. Kevin Herman helps a 95-year-old patient with a non-healing, painful heel ulcer on the foot to help prevent amputation.

Patient History and Consultation

  • 95 year-old female with recent onset of painful left heel ulcer. Non ambulatory. AAOx3. Conversant. Wheelchair dependent, able to transfer.
  • Past Medical History
    • DVT
    • PAD
    • CHF
    • Afib
    • HTN
    • Gastritis
    • Dysphagia
    • Arthritis
    • Weakness

Patient Plan and Treatment

  • Plan
    • Blood Work
    • Arterial Imaging (at facility)
    • Family Discussion
    • Arterial Imaging Same Day for Planning
    • Angiogram
  • Treatment
    • IV Abx – Meropenem, broad spectrum antibiotic
    • Anti-plt
    • Cont. current medical mgmt.

Same Day Arterial Imaging

Same Day Arterial Imaging

Angiogram 5/5/22

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Rationale for Second Look

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Rationale for Second Look

Second Look Intervention

Second Look Intervention

Initial Angio

Initial Angio

Angio @ Second Look


Before and After Images 2 week progression

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Learn more about vascular health, prevention, and care for Peripheral Artery Disease.

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