-IBIS-1.5.0-
tx
cardiovascular system
varicose veins
diagnoses
definition and etiology
definition:
dilated, tortuous superficial veins; usually of the lower limbs; due to incompetent valves
primary varicose veins: generally benign; occur without deep vein pathology
secondary varicose veins: occur as a result of obstruction and valvular incompetence of the deeper veins; a more serious condition
etiology:
Usually, the greater and lesser saphenous veins are affected. There is a familial component. Other risk factors include pregnancy, obesity, and sedentary or standing lifestyle or job. May also follow increased abdominal pressure from ascites or tumors.
signs and symptoms
signs and symptoms:
cosmetic unsightliness of the legs: raised, dilated, tortuous channels
worse standing: legs get heavy and fatigued
better elevating legs
varicose veins may be painful and worse during the menses
edema
lab findings:
(+) Trendelenburg test with tourniquets
course and prognosis
Generally, the condition is benign, although there are associated complications due to the stasis of blood, including stasis ulcers, superficial thrombophlebitis, or "blow-outs". Conventional treatment consists of support hosiery and injection sclerotherapy; surgery on the veins is occasionally performed.
differential diagnosis
lumbar nerve root irritation
osteoarthritis of the hip or knee
arterial insufficiency
diabetic or alcoholic neuropathy
footnotes