case presentation advanced phlebology and deep vein course american college of phlebology - november...
TRANSCRIPT
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CASE PRESENTATIONADVANCED PHLEBOLOGY AND DEEP VEIN COURSE
American College of Phlebology - November 15, 2012
Stephen F. Daugherty, MD, FACS, RVT, RPhS
Clarksville, Tennessee
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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
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INITIAL MANAGEMENT• PERIODIC LEG ELEVATION
• CALF MUSLCE PUMP EXERCISES
• WEIGHT LOSS ADVICE
• GRADUATED ELASTIC COMPRESSION
30-40 mm Hg THIGH LENGTH HOSE
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