Bonnie, a 32 year-old lemale, has been having some mild pain in her legs recentl
ID: 3523753 • Letter: B
Question
Bonnie, a 32 year-old lemale, has been having some mild pain in her legs recently and is not sure if she should be concemed about it, She decides to visit her primary care physician since the pain isn't going away. Bonnie lells ber physician hat the pain leels like a general soreness or ache" and seems to be worse on the ledt side. Her prysician notes that the left lower leg seems slightly swollen when compared to the right and feels slightly warmer than the right leg. Bonnie has a history of smoking (1-2 pack s/week in her 20s and 30s). She has a Blil of 23. She travels offen to see her family that lives across the country. The only medication she has ever taken regularty was oral contraceptives Now hat she is peri-menopausal, she has been treating her symptoms with hormone replacement therapy Which of these staterents is most ukely oomect? OBonnie has deep vein thrombess Bonnie's leg pain is lkely ed by shin splits O lonnie is liey esperienong onteoartheitis O Bonnie b experiencing symptoms relaing to peigheral neuropathy QUESTION Bonnie's physician suspects DVT. Which of the following procelures would ikely tbe used to dagnose this condition Uttrasound ?Blood goose test Arteriogram QUESTION 3 Briefly define thrombus in your own words QUESTION4 Many of the symptoms Bonnie is experiencing could be related to cardiovasoular issues, ike OVT Which of the folowing symptoms would also relate to that diagnosis? O Cols etremites O Red or discoiored skin on her legs Click Save and Subi to saue and sabeir, click Save All Aves to se all eers SaExplanation / Answer
1. bonnie has a deep vein thrombosis.
2. ultrsound
7.personal history of cancer
8.coagulants
9. Bonnie's history of oral contraceptives and current use of hormonal therapy is not a risk factor for DVT.
11.chen has a varicose vein bilaterally.
12.high blood pressure
13.true.
14.varicose veins are common in pregnancy
15.cardiovascular disease
16. If varicose veins goes untreated , complications can happen.
a. lipodermosclerosis - when skin and fat uderline skin gets inflammed and give rise to very hard tissue called as a lipodermosclerosis.
b. venous leg ulcer -when varicose veins get painful and difficult to heal .
c.spontaneous bledding from varicose veins - when skin over the vein becomes thin and sometime it breaks out with significant blood loss as well as wound will be susceptible to serious infections.
17.vein stripping is a common outpatient procedure that involves removal of small veins.
18.elevate your legs several time each day