LBM 4

Swollen leg accompanied with redness and pain

Step 1

Varicose : an enlarge and tortous vein Tortous hardened : tortous :like zigzag; hardened : the consistency like clay

Step 2

1. Why does the woman feel pain and the her right leg become swollen and redness?2. Why does varicose vein arise in the second pregnancy?3. What are the causes of varicose?4. Why the right leg was brownish in colour and hard when palpated?5. What the risk factor of her illness?6. What is the corelation between pregnancy and varicose vein?7. What the classification of varicose vein?8. How about the treatment of varicose vein?9. What is the corelation between hipertention and varicose vein?10. what is the DD of scenario?

Step 3

1. Why does the woman feel pain and her right leg become swollen and redness?Pain and swollen arise from inflamationSwollen (edema)valve veins demage High hidrostatic pressure make transudasion of plasma in the blood,

Pain venule ruptur inflamation reaction (just vein demage becuse the high hidrostatic pressure)

Redness (part of the inflamation reaction) accure because the eritrosit enter in to the tissue in venule rupture

2. Why does varicose vein arise in the second pregnancy?Because the pregnancy has 2 hormon :

estrogen press cause enlarge wall vein to accomodation press volume blood Progesteron the function to decreased of tonus of skeletal muscle arround

the vein3. What are the causes of varicose?

The varicose vein because the valves damage weakness of valves cause by the size of valvula longer

obesity give big load and more pressure in vein leg pregnancy cause 2 factor hormon (estrogen and progesteron) worker that standing to a long time so it can make a high pressure of vein

damage of thoraco abdominalis can’t pump the blood in to the heart

4. Why the right leg was brownish in colour and hard when palpated?The right leg brownish : the pressure vein make cause vein enlarge and make insufisiensi the vulves, the flow of blood decreased again because opening of valvul accumulation of blood in the lower leg thrombus a high pressure of blood damage vein eritrosit come out enter to the intersisial tissue

Hard : because edemaTrombosit make some agregation on inflamation reaction

5. What the risk factor of her illness? High pressure of superficial vein Obesity Pregnancy Trauma on the leg History of family The effect of contraseption drug Age Sex

6. What is the corelation between pregnancy and varicose vein?

7. What is the corelation between hipertention and varicose vein?

Hipertention can give contribution; there will be spasme in blood vesel so that the blood vesel is easier to be damage

Varicose make hipertension because of cardiac output decreased

8. what is the DD of scenario?Nefrotic syndrome = the ren doesn’t work well, has many clinical menifestation Heart faillure in the right side

Manifestation and symtomps vacose vein?9. What the classification of varicose vein?10. How about the treatment of varicose vein?

Step 4

Mapping