“These hormones also increase the levels of clotting factors and are assumed to be responsible for women’s increased risk of blood clots during pregnancy” [Isi]. Diagnosis and Treatment When a patient complains of edema of the lower extremities and hyperpigmentation of the skin on the ankles and feet, CVI should be considered. CVI can be diagnosed by physical examination, medical and family history, and ultrasound. Treatment includes elevating the legs, wearing compression stockings, and physical activity [Hue12]. More aggressive treatments include sclerotherapy or surgical ligation, conservative vein resection, and vein stripping [Hue12]. Symptoms of a DVT consist of pain and swelling in the affected leg. The swollen area might also present as being warm to touch where the thrombus is located. A diagnosis can be confirmed by checking a D-dimer serum level, ultrasound of the extremity, venography, and a CT or MRI scan. Treatment should begin immediately, which includes compression stockings, blood thinning medication (Lovenox, Coumadin, Xarelto), and potentially clot busters and filter placement [May141].
CVI and DVT Mind Map: CVI Clinical Presentation Tired, heavy legs Leg swelling Pain Hyperpigmentation of the skin Epidemiology Female Gender Family history Age Pregnancy Extended periods of sitting or standing Diagnosis History Assessment Ultrasound Pathophysiology Insufficient venous return over an extended period of time Blood pooling Damage to the vein walls Treatment Leg elevation Compression stockings Weight loss Physical activity Vein resection or vein stripping
CVI and DVT Mind Map: DVT Clinical Presentation Swelling to the affected extremity Pain Redness Warmth to the thrombus area Epidemiology Genetics Prolonged bed red
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- Fall '17
- keisha lovence
- Thrombosis, chronic venous insufficiency