RPhS case studies
RPhS · Put your knowledge to work in context.
The Registered Phlebology Sonographer (RPhS) is a sonography credential listed by Cardiovascular Credentialing International (CCI), a credentialing body whose published credential menu includes the RPhS alongside cardiac and vascular sonography and invasive-specialist credentials. The RPhS designation signals that a sonographer has been validated in the sonographic evaluation of the venous system - the phlebology scope that covers superficial and deep venous assessment of the lower extremity, reflux and insufficiency testing, venous mapping, and the surveillance of venous disease and its treatment. The RPhS case studies are 5 cases and about 4,106 words.
1Groin Recurrence Six Years After Great Saphenous Stripping
A 54-year-old woman presents with painful, bulging varicosities in the left groin and medial thigh. She underwent great saphenous vein stripping 6 years ago and reports that the veins reappeared within 18 months.
882 words, about 4 min2Superficial Thrombophlebitis 1.8 cm From the Saphenofemoral Junction
A 61-year-old man presents 4 days after the onset of a painful, red, cord-like structure along the medial thigh extending from just above the knee to the groin. He has a history of varicose veins but no prior venous thromboembolism, takes aspirin only, and has no bleeding history.
795 words, about 4 min3Mixed Arterial and Venous Ulcer With a Request for Full Compression
A 72-year-old woman with a 12-year history of bilateral varicose veins presents with a 3 by 2 cm ulcer above the left medial malleolus that has been open for 7 months. She has type 2 diabetes, hypertension, and a 40-pack-year smoking history, having quit 2 years ago.
799 words, about 4 min4Focal Calf Pain After a Long Flight: Isolated Gastrocnemius Vein Thrombus
A 38-year-old woman presents with 3 days of focal calf pain after a 9-hour flight. She takes a combined oral contraceptive, has no prior venous thromboembolism, no known cancer, and normal renal function.
742 words, about 4 min5Recurrent Vulvar and Thigh Varicosities After Two Ablations: Pelvic Source or Local Failure?
A 44-year-old woman, gravida 3 para 3, presents with recurrent varicosities of both labia and the left medial thigh that appeared in her third pregnancy and persist. She has had two endovenous ablations of the left great saphenous vein at another institution, with recurrence within a year each time.
888 words, about 4 min