Varicose Veins:
History
1.
Chief Complaints
·
Swelling along
the veins / dilated veins in lower limb
·
Pain in lower
limb for
·
Blackish pigmentation of skin in the leg
·
Ulcer in leg
2.
History of Present Illness
·
Swelling
Ø Onset-sudden (DVT) or insidious
Ø Duration
Ø Site of onset and progression
Ø Relieving factor –disappears on lying down
Ø Any pain or color change along the course of the vein (thrombophlebitis)
·
Pain
Ø Onset- acute (DVT) or insidious
Ø Character of pain—dull aching (varicose) /cramping (DVT)
Ø Mode of occurrence
§ On walking (intermittent claudication- PVD)
§ Towards the end of the day (Varicose)
Ø Any night cramps
·
Ulcer
Ø Onset, duration, site
Ø Associated pain, discharge, bleeding
Ø Itching, skin color changes
·
Any pain abdomen
·
Any lump in lower abdomen
3.
Past History
(Any history suggestive of deep venous thrombosis)
·
Pain and swelling in the calf with fever
·
Hospitalization
·
Prolonged immobilization in bed
4.
Personal History
·
OCP intake
·
Smoking
·
Occupational prolonged standing for long time
·
Computer professionals requiring long hours in
a sitting posture—E thrombosis
·
Recent long air travel (economy class
syndrome)-deep vein thrombosis
5.
Family History
·
Any family history of similar disease (runs in
family)
6.
Treatment History
·
History of surgery in lower limb
·
Whether using elastic compression/ Unna boot
·
History of Injection sclerotherapy
7.
Any history of calf pain and leg swelling àpleuritic chest pain, haemoptysis and dyspnea
(DVTà Pulmonary Embolism)
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