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Varicose Veins

 Syn. Varicosity , Varicosities , varicose veins lower extremities

Signs & Symptoms

 Family history of venous disease
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease] Harrison [ 1931]
History of lower extremity trauma
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]
Limb discomfort
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]
exacerbated by joint movement (negative symptom)
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]

Physical Examination

 Heavy pigmentation of skin overlying panniculitis
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]
Incompetent perforating veins
Ref: Harrison [ 1931]
Venous ulceration located low on the medial ankle
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]

Lab / Serology

Imagin Study

 Absence of flow
Note: Doppler ultrasound
Ref: Harrison [ 1932]
Failure of vein to collapse when a compression maneuver is applied by the sonographer
Ref: Harrison [ 1932]
Presence of an echogenic thrombus within the vein
Note: Doppler ultrasound
Ref: Harrison [ 1932]

Complication

 Repeated Streptococcal cellulitis
Note: due to Lipodermatosclerosis
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]
Areas of Ulceration
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease] Harrison [ 1931]
Difficult ambulation
Note: due to Limb pain
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease] Harrison [ 1931]

Risk Factors

 Elder
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]
Obesity
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]
Pregnant
Ref: Uptodate [ Clinical manifestations of lower extremity chronic venous disease]

Cause

Other