This document discusses the case of a 39-year-old female with diabetes and hypertension who presented with blackening of fingers following minor trauma. On examination, her fingers showed dry gangrene. Investigations revealed poorly controlled diabetes and hyperlipidemia. She was started on antibiotics and other medications. Orthopedics recommended amputation, but it was initially postponed. The discussion summarizes the approach to evaluating digital ischemia, including risk factors, examination findings, investigations and underlying pathologies like vessel abnormalities, hypercoagulable states, embolism and thrombosis.