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Cardiovascular Disability Updating the Social Security Listings (2010) / Chapter Skim
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9 Chronic Venous Insufficiency
Pages 157-164

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From page 157...
... the listing should require documentation of venous reflux or obstruction using the current diagnostic standard -- that is, du plex ultrasound. the terminology for skin changes in the lower leg secondary to CVI should be updated.
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From page 158...
... In 2007, more than 500,000 individuals in the United States had venous stasis ulcers. Risk factors for CVI include older age, family history, multiple pregnancies, standing occupation, obesity in females, history of leg trauma, and prior deep venous thrombosis (Adhikari et al., 2000; Criqui et al., 2007)
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From page 159...
... . An extensive review of clinical trials indicates that compression stocking therapy increases healing of ulcers; multicomponent systems are more effective than single component systems; and multicomponent systems containing elastic are more effective than those with largely inelastic components (O'Meara et al., 2009)
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From page 160...
... CURRENT LISTING Currently, the listing is for CVI of a lower extremity, with incompetency or obstruction of the deep venous system and either extensive brawny edema or superficial varicosities, stasis dermatitis, and recurrent or persistent ulceration that has not healed despite 3 or more months of treatment (Box 9-1)
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From page 161...
... as well as reflux or obstruction in the venous system, documented by duplex ultrasound or comparable technique. The documented symptomatic venous reflux or obstruction should be coupled with a requirement of the following: Trophic changes of skin below the knee consistent with severe • chronic venous insufficiency (e.g., hyperpigmentation, lipoder matosclerosis, brawny edema)
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From page 162...
... 2003. Chronic venous disease in an ethnically diverse population: The San Diego Population Study.
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From page 163...
... . http://www.socialsecurity.gov/ disability/professionals/bluebook/AdultListings.htm (accessed July 22, 2010)
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Key Terms

  • venous insufficiency
  • venous disease
  • venous reflux
  • vascular surgery
  • venous ulceration

  • diego population
  • population study
  • trophic changes
  • deep venous
  • venous leg

  • venous ulcers
  • venous ulcer
  • skin changes
  • brawny edema
  • venous thrombosis

  • venous blood
  • ultrasound examination
  • lower extremity
  • daily living
  • duplex ultrasound

  • diagnostic techniques
  • cvi include
  • leg ulcers
  • current listing
  • knee consistent

  • leg elevation
  • require documentation
  • venous hypertension
  • treating venous
  • venous diseases


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