Chronic venous disease Flashcards
Deep venous system
Femoral, popliteal, tibialis
Superficial venous system
Saphenous, perforators
Risk factors for varicose veins
Age
Pregnancy
Obesity
Primary varicose veins
Develop in superficial veins
Secondary varicose veins
Develop in veins that lie deep among muscle
When are varicose veins more prominent?
On standing
Varicose vein complications
Bleeding and bruising Superficial thrombophlebitis Chronic venous insufficiency - haemosidering deposits - lipodermatosclerosis - ulceration
What is venous insufficiency?
irreversible skin damage as result of sustained ambulatory venous hypertension
What is chronic venous ulceration?
a break in the skin, present for >6/52, between malleoli and tibial tuberosity, presumed to be due to venous disease
Investigation of varicose veins?
Duplex scan
Lipoderatosclerosis
White cells
Inflammation
Fibrosis
When are stockings and bandages contraindicated?
Low ABPI!