Venous stasis: Difference between revisions
ClaireLewis (talk | contribs) No edit summary |
|||
| Line 5: | Line 5: | ||
==Clinical Features== | ==Clinical Features== | ||
[[File:Chronicvenousinsufficiency.jpg|thumb|Long term venous stasis skin changes]] | |||
[[File:PMC3152448 mjhid-3-1-e2011026f2.png|thumb|Chronic venous stasis ulcer.]] | |||
===Venous stasis dermatitis=== | ===Venous stasis dermatitis=== | ||
*Skin becomes darker/purple, dry, tight, and hairless | *Skin becomes darker/purple, dry, tight, and hairless | ||
| Line 10: | Line 12: | ||
*Patients may complain of leg heaviness, fatigue, or cramping | *Patients may complain of leg heaviness, fatigue, or cramping | ||
*Unlike [[cellulitis]], erythema from venous stasis tends to change with dependent positioning of the affected limb | *Unlike [[cellulitis]], erythema from venous stasis tends to change with dependent positioning of the affected limb | ||
==Differential Diagnosis== | ==Differential Diagnosis== | ||
Revision as of 17:10, 9 September 2020
Background
- Decreased rate of return of venous blood flow to heart (most commonly in lower extremities)
- Leads to characteristic vascular and skin changes
- Common in individuals with chronic vascular disease, diabetes, obesity, smoking history, prolonged immobility
Clinical Features
Venous stasis dermatitis
- Skin becomes darker/purple, dry, tight, and hairless
- In severe cases may see venous insufficiency ulcers
- Patients may complain of leg heaviness, fatigue, or cramping
- Unlike cellulitis, erythema from venous stasis tends to change with dependent positioning of the affected limb
Differential Diagnosis
- Cellulitis
- Deep venous thrombosis
- Critical limb ischemia
- Peripheral artery disease
- Ruptured Baker cyst
- Superficial thrombophlebitis
- Necrotizing fasciitis
- Compartment syndrome
- Complex regional pain syndrome
Evaluation
- Duplex scan if suspicion for DVT
Management
- Limb elevation, compression, and increased exercise
Disposition
- Discharge