Chronic Venous Insufficiency - Answers develops when leg veins and valves fail to keep blood moving
forward -- ambulatory venous hypertension
Chronic venous insufficiency leads to - Answers venous leg ulcers
Venous leg ulcers are - Answers not life threatening, but are extremely painful and debilitating/costly
*weeping edema
varicose veins and PTS (post thrombotic syndrome) can lead to - Answers CVI (chronic venous
insufficiency)
Manifestations of CVI - Answers lower leg: leathery, brownish skin
•serous fluid & RBCs leak from capillaries & venules into tissue edema
•chronic inflammatory changes enzymes that eventually break down RBCs, resulting in brownish, skin
discoloration
eczema or stasis dermatitis
•itching is a common complaint
Venous ulcers are commonly located - Answers above medial malleolus (back of ankle)
•painful: especially w/ edema and/or infection
•pain worsens when dependent
*infection in bone possible if ulcer deep enough
venous ulcer - Answers reddish appearance
arterial ulcer - Answers whitish appearance
severe complications of venous ulcer - Answers •osteomyelitis
•malignant changes
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