A 58 year old woman has chronic leg heaviness and swelling that worsens after standing all day at work. Examination shows edema around the ankles, brown discoloration over the medial malleoli, and shallow irregular ulcers near the ankles. Distal pulses are intact. Which of the following is the most likely diagnosis?
- A)Buerger disease
- B)Lymphedema
- C)Chronic venous insufficiencyGABARITO
- D)Acute arterial embolism
- E)Peripheral arterial disease
Explicação
Chronic venous insufficiency is correct. Venous hypertension from incompetent valves causes edema, stasis dermatitis with brown hemosiderin deposition, and venous stasis ulcers near the medial malleolus. Normal distal pulses help distinguish this from arterial... Ver explicação completa e trilha adaptativa →