A 50-Year-Old Male with Several Chronic Conditions and Foot Pain at an Amputation Site

The patient is a 50-year-old man who presents with foot pain at the site of a right-foot amputation. He has a history of chronic renal disease, diabetes mellitus, and hypertension.

View the ECG taken and consider what the diagnosis and next steps would be. Resolution of the case is described on the next page.

Benjamin Cooper, MD, FACEP

Assistant Professor and Associate Program Director, McGovern Medical School, Department of Emergency Medicine, The University of Texas Health Science Center at Houston.