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Venous insufficiency and deep vein thrombosis are differentconditions with similar symptoms. Therefore, it is essential toidentify the illness clearly before treatment commences. Severaltechniques can be used to ensure that the diagnosis is accurate andsupported by evidence.

Venous insufficiency occurs when veins are unable to senddeoxygenated blood efficiently from the lower limbs back to theheart. It is usually caused by weakened (or damaged) valves andwalls. Consequently, blood is unable to flow, especially when thepatient is standing. Some of the risk factors include geneticcharacteristics, age, body height, pregnancy, and obesity. On theother hand, deep vein thrombosis is a blood clot in the vein, usuallyin the calf or thigh. It results in similar symptoms because itaffects the flow of blood in the leg. Additionally, the risk factorsare the same (Dunphy, 2015).

However, differential diagnosis, which is based on probability,classification and use of technologies such as ultrasound, can beused to identify the particular condition. This involves classifyingthe patient based on the risk factors and determining the likelihoodusing clinical prediction rule. Proximal compression or whole-legultrasound and the D-dimer test can be used to diagnose deep veinthrombosis. They enable the identification of the clot and provideevidence of it dissolving. Doppler ultrasound estimates the flow ofblood by detecting the sound waves produced. It can be used in thediagnosis of both blood clots and damaged valves, among otherconditions (Dunphy, 2015).

Therefore, in presenting the case to the physician, it is importantto highlight some of the aspects that will differentiate the twoconditions. This includes patient history and risk factors as well asthe results of diagnostic tests. The physician will be able to aninformed conclusion depending on the information provided.


Dunphy, L. (2015). Primary care: the art and science of advancedpractice nursing. Philadelphia: F.A. Davis Company.

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