Klippel-Trenaunay syndrome is a rare disorder consisting of the triad of vascular and/or lymphatic malformations, capillary malformations, and soft tissue or bony hypertrophy. Symptom control is the mainstay of treatment for these patients, with many of the symptoms never fully being relieved. In this case report, we present the case of a 46-year-old man with chronic lower extremity ulcerations unresponsive to wound care therapy. Owing to the chronic nature of his wounds and associated pain, reconstruction of his iliac vein was performed using polytetrafluoroethylene graft and an arteriovenous fistula.

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portal access. athenahealth, a cloud-based EHR, was selected based on the study selection criteria. RESULTS: Net profit increased 12% in the first year of introduction of implementation Days in Accounts Receivable decreased by 10.97% Patient visits increased by 2.93% No show rate decreased 16.22% overall Automated, easily accessible quality data gathering demonstrated by improved care coordination with other IPA members.CONCLUSION: This small study demonstrates the use of a low-cost EHR to improve financial outcomes and care coordination for an independent practice in a rural setting. The results of this study merit further investigation to determine how small practices can meet the needs of a 21st century patient population.