Page 77 - Virtual Vascular Vol 16

Surgical Short Case

The diagnosis is Chronic Venous Insufficiency (CVI).
Running commentary:

The etiology of CVI is most commonly primary. However, I will examine the
I see a healed ulcer on left medial ankle (C5 on the CEAP grading). abdomen and the groin for any mass.

The left leg is hyperpigmented compared to the right. I will further work up the patient with an ultrasound of the left lower limb veins

to delineate the Etiology (congenital, primary, secondary), Anatomy (superficial
Lipodermatosclerosis is absent. veins, deep veins and/or perforating veins) and the Pathophysiology (reflux 77
There are no varicosities seen on standing. and/or obstruction)  CEAP grading.