A 46 year old female presented with long-standing history of right lower limb fatigue and aching with prolonged standing. Signs and Symptoms: Aching, cramping, heavy, tired right lower limb Tenderness over bulging veins Symptoms get worse at end of the day She feels better with lower limb elevation and application...

A 50 year old male with long-standing bilateral chronic venous insufficiency presented with right leg ulceration. Symptoms Aching and heavy lower limbs Symptoms get worse with prolonged standing He feels better with lower limb elevation and compression stocking therapy   What should be done?    Download Complete Case

We recently reached out to Dr. Antonios Gasparis, professor of surgery at Stony Brook University Hospital in New York, to learn more about his hospital’s venous thromboembolism (VTE) team. Upon its formation, the team was tasked with managing patients who have received IVC filters, including tracking eligible patients for outpatient...

A 21year-old healthy female presented with symptomatic varicose veins localized to right medial and proximal calf for about one year. SYMPTOMS Aching, heaviness, and tenderness around the veins Aggravating factors: Long standing Alleviating factors: Leg elevation, wearing compression stockings Download Complete Case

A 35 year old G4P4 female presented with worsening left flank pain for the last 2 days. Symptoms Pain was described as: Constant and low intensity in the left flank with episodes of exacerbation for about 5 years. Severe since last 2 days. Non-cyclic. Radiating to left shoulder, left lower...

46 year-old male with past medical history of Syndrome (KTS) who presents with left leg swelling, venous claudication, port wine stains, prominent varicosities, and intolerance to cold temperatures especially in left forefoot/toes partially alleviated with massage and elastic compression stockings. History Medical history: KTS diagnosed in 1993, Obesity, Superficial thrombophlebitis...

A 39 years old female patient, presented with symptomatic Signs and symptoms   Tenderness Local pain Worst at the end of the day and during standing Symptoms are relieved with limb elevation She had 3 pregnancies 2005, 2011 and 2013 Symptoms started 5 years ago after the 2nd pregnancy She is feeling...

Symptomatic Anterior Accessory Great Saphenous Vein (AAGSV) Reflux   Physical Examination Both lower limbs were warm and well perfused Distal palpable pulses Prominent varicosities on left anteromedial and anterolateral thigh, and medial calf No gluteal, perineal or vulvar varicosities Post-inflammatory hypopigmented skin patches on anterior calf and ankle regions No...

Saphenous Trunk Varicosities   Physical Examination Both lower limbs were warm and well perfused Distal palpable pulses Prominent varicosities on left anteromedial and anterolateral thigh, and medial calf No skin changes or ulcers. No edema. Motor and sensory were intact Download Complete Case