What is the most likely diagnosis when presented with findings suggestive of superficial thrombophlebitis?

• A. Deep vein thrombosis
• B. Superficial thrombophlebitis
• C. Varicose veins
• D. Chronic venous insufficiency

Answer: (B)

Superficial thrombophlebitis is characterized by inflammation and thrombosis of a superficial vein, commonly presenting with local symptoms such as pain, redness, and swelling along the affected vein. It often occurs in the context of varicose veins or following trauma to the area. The diagnosis is supported by physical examination findings, which typically showcase tenderness over the inflamed vein and possible palpable cord-like structures indicating the presence of a clot.

When evaluating the findings that suggest superficial thrombophlebitis, the direct correlation of the symptoms and presentation leads naturally to a diagnosis of superficial thrombophlebitis itself, making it the most likely answer. This condition is distinct from deep vein thrombosis, which involves deeper veins and presents with different symptoms. Similarly, while varicose veins and chronic venous insufficiency may be related factors, they do not encapsulate the inflammatory thrombotic process occurring in the superficial veins associated with superficial thrombophlebitis. Thus, the clarity and specificity of the findings align precisely with superficial thrombophlebitis, making it the most appropriate diagnosis.