During the ten year period from 1929 to 1939, 288 patients have been under the care of the members of the Peripheral Vascular Clinic at the Massachusetts General Hospital for the treatment of obliterative arterial disease due either to thrombo-angiitis obliterans or to peripheral arteriosclerosis. Between May 1923 and Jan. 1, 1939, 565 patients with arteriosclerotic gangrene associated with diabetes mellitus have been operated on by my associate Dr. Theodore C. Pratt and myself at the New England Deaconess Hospital. The disease of these patients was so advanced as to warrant their admission to the wards of either hospital. From a review of the records of these patients we shall try to summarize the problems in diagnosis and hospital treatment which this group presents.
SYMPTOMS AND SIGNS OF OBLITERATIVE ARTERIAL DISEASE
The symptoms of progressive occlusion of the arterial supply to an extremity are similar regardless of the
McKITTRICK LS. THE DIAGNOSIS AND MANAGEMENT OF CHRONIC OBLITERATIVE VASCULAR DISEASE: CLINICAL LECTURE AT ST. LOUIS SESSION. JAMA. 1939;113(13):1223–1227. doi:10.1001/jama.1939.72800380002012
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