Venous Stasis Disease

Patient presents with signs and symptoms consistent with venous stasis disease.  Chief complaints include leg swelling, particularly in the lower extremities, described as edema and heaviness.  The patient reports aching, throbbing leg pain exacerbated by prolonged standing or sitting and relieved by leg elevation.  Visual examination reveals dilated, tortuous superficial veins, telangiectasias, and evidence of venous insufficiency.  Skin changes such as hyperpigmentation, lipodermatosclerosis, and eczema are noted in the affected area.  The patient denies any recent trauma or deep vein thrombosis history.  Assessment includes chronic venous insufficiency, venous stasis dermatitis, and peripheral edema.  Differential diagnosis includes lymphedema and cellulitis.  Duplex ultrasound of the lower extremities is ordered to evaluate venous flow and rule out deep vein thrombosis.  Plan of care includes compression therapy with graduated compression stockings, leg elevation exercises, and patient education regarding venous stasis disease management.  Patient advised to avoid prolonged standing or sitting and encouraged to engage in regular walking and exercise to improve circulation.  Follow-up appointment scheduled in two weeks to assess treatment response and adjust plan as needed.  Medical coding considerations include ICD-10-CM codes for chronic venous insufficiency (I87.2), venous stasis ulcer (I83.1) if present, and associated skin conditions.  Referral to a vascular specialist may be considered depending on disease progression and patient response to conservative treatment.