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Chronic Venous Insufficiency (Risk Factors (Continued standing for…
Chronic Venous Insufficiency
Risk Factors
Continued standing for extended periods of time
Female, age, family history
Age
Obesity
Pregnancy
Epidemiology
92 out of 100,000 hospital admissions
40% Prevalence in women
17% Prevalence in Men
Peak age in Women- 40-49; Peak age Men- 70-79
Diagnosis
Ultrasound
d-Dimer
History and Physical Exam.
Pathophysiology
Weak vein walls
Extended, inadequate venous return
Increased venous pressure and valva failure
Congenital absence of venous valves
Clinical Presentation
Hyper-pigmentation of feet, ankles, skin
Lower extremity edema
Cramping, throbbing, burning, heaviness
Leg fatigue/ Restless Leg
Treatment
Compression hose
Elevate lower extremities
Laser treatment/sclerotherapy