CASE PRESENTATIONADVANCED PHLEBOLOGY AND DEEP VEIN COURSE

American College of Phlebology - November 15, 2012

Stephen F. Daugherty, MD, FACS, RVT, RPhS

Clarksville, Tennessee

57 y/o woman presents for evaluation of progressing leg pain, edema, and varicose veins,

LLE>>>RLE

1979 initial symptoms with dx left calf DVT

1980 left calf SVT

Warfarin and light compression stockings since 1979

No pelvic or abdominal symptoms

Frequent syncopal episodes for years

INITIAL MANAGEMENT• PERIODIC LEG ELEVATION

• CALF MUSLCE PUMP EXERCISES

• WEIGHT LOSS ADVICE

• GRADUATED ELASTIC COMPRESSION

30-40 mm Hg THIGH LENGTH HOSE