A 63-year-old obese woman with hypertension presents with progressive ankle edema worsening by evening and brown discoloration around the medial malleolus. She reports aching leg pain relieved by elevation. Vital signs show BP 152/88 mmHg, HR 78/min, RR 14/min, temperature 37°C, SpO2 98% on room air. Distal pulses are intact bilaterally. Duplex ultrasound shows normal deep venous system. She takes lisinopril and amlodipine daily. Which of the following is the most likely diagnosis?
- A)Acute arterial embolism
- B)Aortic dissection
- C)Buerger disease
- D)Chronic venous insufficiencyGABARITO
- E)Peripheral arterial disease
Explicação
Chronic venous insufficiency causes dependent edema, aching discomfort, varicosities, and hemosiderin deposition leading to brown discoloration, especially near the medial malleolus. Symptoms improve with leg elevation because venous return is facilitated. Int... Ver explicação completa e trilha adaptativa →