The diagnosis d dimmer lab test untrasonography

The Diagnosis
d-Dimmer lab test
Untrasonography
History and Physical
Clinical
Manifestations
Assymptomatic
sometimes
Redness, Pain
The swelling of legs &
ankles,
tenderness along the
distribution of veins in
calf and thighs.

ARTERIAL AND VEIN DISORDERS 8
chronic
venous
insufficiency
(CVI)
Treatment and Daignosis
leg elevation,
compression stockings, physical
exercise
Vein stripping
surgical ligation and vein resection.
Diagnosis
d-Dimmer,
Ultrasound
History and Physical
Epidemiology
Advanced age, the
female gender, past
treatments of vericose
veins, previous leg
injury, pregnacy and
obeisty.
Pathophysiolgy
The pressure of large volume of blood-
Venous valve damag-
Increased hydrostatic pressure pushing
plasma thin vessels-
veins swelling and tissue becomes
edematous-
inflamatory reaction in vessels and
tissues- fibrosclerotic remodelling of
skin- ulcerations.
Clinical
manifestations:
Pain
Edema of the lower legs
Hyperpigmentation of
skin on feet & akles

ARTERIAL AND VEIN DISORDERS 9
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