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GSV reflux with aneurysmal segment and perforator reflux

Patient is a 54 year old male with symptomatic right lower extremity varicose veins. They have been present for over 15 years and have progressively worsened with increasing symptoms. Has been using ECS 20-30mmHg for last 5 years. Now comes in seeking possible treatment. PMH – Provoked left LE tibial...

Evaluation of a patient with lower extremity swelling

67 yo female presented with 1-year history of BLE edema (LT>RT), which has progressively worsened over last 3 months. Swelling is mild in the morning and becomes severe at the end of the day. Denies any leg pain. Left leg becomes tired with prolonged standing. No visible varicose veins or...

Primary and Secondary Reflux

Female 53 years old with varicose veins for over 15 years. Symptoms of left lower extremity pain, swelling and itching. Documented episode of provoked DVT 7 years ago with duplex ultrasound extending from CFV to calf after gall bladder surgery. Treated for 6 months with anticoagulation and no recurrent DVT....

Segmental GSV reflux

A 43 year old female presented with right lower extremity varicose veins and swelling. She had symptoms of aching, heaviness and tiredness in the right leg. View Full Case

Phlebo-lymphedema

65 Year old male with a history of CVD, presents with 5 month history of worsening right lower extremity edema. The edema is progressive in nature with recent acute exacerbation over the past month. Patient has had recurrent episodes of cellulitis in the right leg, recently requiring IV antibiotics. Compliant...

Right Ovarian Thrombosis

43 Year old female. Presented with abdominal pain in the last 3 days. Pain is sharp, moderate to severe (No specific modifying factors and unrelated to eating) No GI tract symptoms No fever or chills No urinary symptoms No bleeding Normal vital signs Height 152cm (5 feet), Weight 77.6Kg (171lb)...

Progressive Worsening of Calf Swelling

A 33 year old female with history of non-Hodgkins lymphoma currently in remission presented with progressive left calf swelling for the past 2 years. Symptoms: Constant dull ache and tightness in left leg that becomes worse with prolonged standing. She has no issues with ambulation, fever, chills, shortness of breath, back...

Right Foot Mass

A 33 year old female with long-standing history of a large mass on the right lateral foot presented with increased swelling and pain to palpation. Symptoms: Pain with palpation, ambulation and prolonged standing Physical Exam: Both lower limbs were warm and well perfused Distal palpable pulses No prominent varicosities, skin...

Residual and Recurrent Varicose Veins

Female patient, 57 years old presented with symptomatic varicose veins in the right lower limb. She noticed the varicosities over 30 years ago. Signs and Symptoms: Swelling Burning sensation Itching Heaviness The veins are larger and the symptoms are worst at the end of the day. She gets relief with...