Chronic Venous Insufficiency

1. Pathophysiology An inflammatory reaction, this then leads to a fibrosclerotic remodeling of the skin and then ulceration.

2. Epidemiology 25 million adults in the United States.

3. Clinical presentation Edema of lower extremtities, hyperpigmentation of skin, and ulceration of the affected limb.

4. Diagnosis Using patient’s history and current symptoms

5. Treatment Surgical ligation, vein striping, sclerotherapy or physical activity, leg elevation, compression stockings