Page 251 - Color Atlas Of Pathophysiology (S Silbernagl Et Al, Thieme 2000)
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A.  Varicosis and Phlebothrombosis
           1 Normal
            flow conditions                                 Femoralis v.
                                Superficial
                    Deep        leg vein                   Perforating v.
                    leg vein                               (Dodd)
                                                           Perforating v.
                                                           (Hunter)
                                                          Long saphenous v.
                                                          Popliteal v.
                                                           Perforating v.
                                                           (Boyd)
                                     Flow direction during  Posterior
         Venous valves               muscle relaxation      tibial vv.
              Perforating v.         (no back-flow on       Perforating v.  Peripheral Vascular Diseases
                                     muscle contraction)
              Leg muscles                                   (Cockett III)
                                                            Perforating v.
                                                            (Cockett II)
                 Genetic risk factors,  Immobilization,     Perforating v.
                 standing or sedentary  coagulopathy, operation,  (Cockett I)
                 occupation over years,  trauma, contraceptive
                 pregnancy, overweight  pill, tumor
                                                                       Plate 7.34
                                    2      3
                           Primary varicosis  Acute
                                          phlebothrombosis,
                                          risk of embolism


                     Venous valve
                     failure  Feeling of heaviness,
                             pain,
                     Flow
                     reversal  burning sensation
                             and edema in
                    Flow reversal  the legs
                    on muscle
                    contraction
                              Inflammation
                              (varicophlebitis)
                                               4
                                              Pulmonary embol-
                                    5         ism and infarction
                           Chronic venous failure
        (in part after May, Partsch and Creutzig)  6







                                   Fibrosis, tissue hypoxia, ulcus
                                       Photo: Siegenthaler W. Differentialdiagnose innerer Krankheiten.  241
                                                    16th Aufl. Stuttgart: Thieme; 1988.
       Silbernagl/Lang, Color Atlas of Pathophysiology © 2000 Thieme
       All rights reserved. Usage subject to terms and conditions of license.
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