What is the focus of the clinical history for venous history of varicose veins and spider veins (telangiectasia)?

Updated: Feb 28, 2018
  • Author: Robert Weiss, MD; Chief Editor: William D James, MD  more...
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Answer

The venous history should also include the following elements:

  • History of venous insufficiency (eg, date of onset of visible abnormal vessels, date of onset of any symptoms, any known prior venous diagnoses, any history of pregnancy-related varices)

  • Presence or absence of predisposing factors (eg, heredity, trauma to the legs, occupational prolonged standing, sports participation)

  • History of edema (eg, date of onset, predisposing factors, site, intensity, hardness, modification after a night's rest)

  • History of any prior evaluation of or treatment for venous disease (eg, medications, injections, surgery, compression)

  • History of superficial or deep thrombophlebitis (eg, date of onset, site, predisposing factors, sequelae)

  • History of any other vascular disease (eg, peripheral arterial disease, coronary artery disease, lymphedema, lymphangitis)

  • Family history of vascular disease of any type


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