1. VARICOSE VEINS BY HAWRAA MAHDI UOK 2ND STAGE MEDICINE

4. PATHWAY LEADING TO VARICOSE VEINS AND OTHER CLINICAL MANIFESTATIONS OF VENOUS HYPERTENSION

5. Varicose veinTelangectesia Reticula vein

6. Varicose vein Lipodermatosclerosis Venous statis ulcer

7. COMPLICATIONS  Thrombophlebitis  pigmentation- black to brown due to RBC breakdown  eczema- extravasated rbc –> itching –> scratch – > eczema  Haemorrhage  deformity

8. HISTORY  Age usually in older people  Sex female > male  Occupation prolonged standing  Symptoms cosmetic, pain, ankle swelling, superficial thrombophlebitis, skin changes (thickening, pigmentation, ulceration and eczema)  Past history Similar complaints, during pregnancy  Family history Similar complaints

9. EXAMINATION  INSPECTION  VISIBLE VEINS (SITE, SIZE AND EXTENT, EFFECT OF ELEVATION  PALPATION  SKIN (, OEDEMA, THICKENING AND TENDERNESS)  AUSCULTATION (Properly exposed, standing and supine position, both in front and behind)

10. TREATMENT  conservative  surgery

11. SCLEROTHERAPY

13. THANK YOU