• SecondsCount Leg Vein Symptoms Log

    11/04/2014

    The SecondsCount Leg Vein Symptoms Log can help you keep track of any information that will help you and your doctor decide on the best treatment for you. Consider downloading and printing the symptom log. You can complete the log each day and then share it with your healthcare team during visits. 

     SecondsCount Leg Vein Symptoms Log

     

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    Do you have pain, heaviness, swelling, tenderness, skin color changes, sores, or any other symptoms that concern you?

     

     

     

     

     

     

     

    Where on your body have you noticed these symptoms?

     

     

     

     

     

     

     

    If you are experiencing pain, how would you rate it on a scale of 1 to 5 (5 being unbearable)?

     

     

     

     

     

     

     

    How long did the symptoms last?

     

     

     

     

     

     

     

    What were you doing when the symptoms began?

     

     

     

     

     

     

     

    What were you doing when the symptoms stopped?

     

     

     

     

     

     

     

    Do you have any other symptoms that concern you (for example, varicose or spider veins)?

     

     

     

     

     

     

     

    If you don’t have symptoms but are concerned that you might be at risk, take the SecondsCount Venous Disease Risk Assessment Checklist and discuss it with your doctor. Together you can find ways to reduce your risk of developing problems in the future.