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(DIAGNOSIS (magnetic resonance venogram, venous plethysmography, duplex…
EPIDEMIOLOGY
Unites States
Venous stasis ulcer
approximately 500,000 people affected
Mean incident of Hospital admission
92 per 100,000 admission
International Statistics
Lower limb ulceration
70-90% ulcers of CVI
Age related demographics
Men- 70-79 y/o
Women- 40-49 y/0
CLINICAL PRESENTATION
Skin Changes
crusted or weepy skin
thickening and hardening of skin
red or swollen skin
hyperpigmentation
irritated or cracked skin
wound or leg ulcers
leg swelling
leg pain
DIAGNOSIS
magnetic resonance venogram
venous plethysmography
duplex ultrasound
physiologic venous function test
blood works
ambulatory venous pressure monitoring
RISK FACTORS
age
family history
female gender
obesity
smoking
sitting or standing for long periods
TREATMENT
graduated compression
surgical or endovenous therapy
valvuloplasty
venous bypass
ablation
consult with phlebologist
PATHPHYSIOLOGY
valvular incompetence
1.venous hypertension 2.circulatory stasis 3.tissue hypoxia
Inflammatory reaction
fibrosclerotic remodeling of skin
Skin Changes
sluggish circulation
derivation of O2 and nutrients in the cells, inability to remove waste
cell death
skin ulcer/necrosis
