Mrs. Gray, a 40-year-old mother of seven children, is complaining of dull, aching pains in her legs. She reports that they have been getting progressively worse since the birth of her last child. During her physical examination, numerous varicosities are seen in both legs.
a. How are varicosities recognized?
b. What veins are most likely involved?
c. What pathologic changes have occurred in these veins?
d. What is the most likely cause in this patient's case?
d. What is the most likely cause in this patient's case?
ANSWER: A. Veins will be dark purple or blue in color, may appear twisted and bulging; they are often like cords on the legs.
B. Superficial veins of the leg are the veins involved in varicose veins. Among this great saphenous vein is the mostly involved.
C. In this case, multipara women is the cause. Pregnancy willl cause the venous pressure to increase which inturn cause dilatation of veins causing incompetent valves. This causes reversal of blood which results in varicose veins.
D. Pregnancy is the likely cause of varicose veins kn this case.
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