Muhamad Na'im B Ab Razak (jacknaim) is a fresh graduate Muslim Doctor from Universiti Sains Malaysia and waiting for the enrollment into the housemanship program. Ambitious in pursuing master program in emergency and traumatology medicine and loves to spent his free time joining humanitarian missions, writing and speaks as an amateur public speaker in motivation and comparative religion. [HOME]

Disorder of the superficial vein of the leg

Answer


1) Findings

a) Dilated, tortuous and prominent superficial veins at bilateral leg. The lesion is extending from anterior leg up to the mid thigh.
b) No lipodermatosclerosis, ulcer noted at gaiter area


2) Defective connective tissue and smooth muscle of the vein wall leading to secondary valve incompetence


3) Bilateral leg varicose vein.


4) Long saphenous vein system


5) Investigation
a) Doppler ultrasound
b) Duplex ultrasound
c) Venography


6) Management

a) Conservative
- Elastic compression stockings
- Weight loss
- Regular exercise
- Avoid prolonged standing


b) Injection sclerotherapy
For small varices below the knee due to incompetence of local perforators.


c) Surgery (indications : venous ulcer, pain, cosmetic)