What is wrong in the following case?
A patient comes to the doctor complaining of deep muscle pain in the calf and foot and claudication. During the assessment, the nurse observes coolness, pallor, elevational pallor, and dependent rubor. The pulse is diminished, and systolic bruits are present. There are signs of malnutrition, thin, shiny skin, thick-ridged nails, the absence of hair, atrophy of muscles. Ulcers are present on the toes, metatarsal heads, heels lateral ankle with well-defined edges and no bleeding.
A. Arteriosclerosis--Ischemic ulcer Arterial Insufficiency B. Venous (stasis) ulcer Venous Insufficiency C. Thrombophlebitis
The veins in your legs carry blood to your heart. They have one-way valves that keep blood from flowing backward. If you have chronic venous insufficiency, the valves don't work the way they should, and some of the blood may go back down to your legs.
This causes blood to collect in your veins. CVI, if left untreated, can cause pain and swelling. It can even cause skin alterations in your legs. It may also lead ulcers on your legs. Women are more prone to develop CVI. This condition can also cause varicose veins and skin that looks like leather. Without treatment, the pressure and swelling will burst the blood vessels in your legs called capillaries.