Clinical Case Database / Category: Clinical Care

Consent in amputation secondary to vascular disease

Publication details

HAQ Lyons, A Moss, A Keenan, TCJ Partridge, AM Wood
Foundation Years Journal, volume 7, issue 10, p.12 (123Doc Education, London, November 2013)

Abstract

A sixty year old male life long smoker with a past medical history of diabetes, hypertension and chronic renal failure presents urgently to your out patient clinic with severe pain in his right foot. It is worse at night and was previously relieved by standing, but now remains constant. He has been managing the pain with a combination of NSAIDs, opiates and gabapentin but the pain has now become so severe he states that he is unable to cope. He has previously been investigated for severe peripheral vascular disease and re-vascularisation of the affected limb is not possible. On examination he has a deeply erythematous right foot with dusky toes. Your consultant advises the patient that he requires a below knee amputation for Critical Limb Ischaemia, but is called away for an emergency. On leaving he asks you to consent the patient.

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Authors

HAQ Lyons

4th Year Medical Student, University of Leeds

A Moss

Foundation House Officer, Queen Elizabeth Hospital Birmingham

A Keenan

ST3, Royal Infirmary of Edinburgh

TCJ Partridge (Corresponding author)

CT2, Wansbeck General Hospital
tom.partridge@doctors.org.uk

AM Wood

ST7, Royal Infirmary of Edinburgh
drsandywood@googlemail.com

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