CHRONIC VENOUS INSUFFICIENCY Flashcards
0
Q
S + S?
A
Dull ache worse standing, better elevated leg
Oedema
Varicose veins
Venous ulcer
Hyper pigmentation : haemosiderin deposition
Cellulitis
1
Q
Causes of chronic insufficiency?
A
DVT
- thickened contracted valve leaflets -> insufficiency
Valvular incompetence
- distended vein or separation of valve leaflets
2
Q
Ix?
A
Doppler ultrasound
- for retrograde venous flow
3
Q
Management?
A
Non-surgically
- avoid prolonged leg dependence
- graduation compression stocking
- treat ulcers quickly with dressing
Surgically
- valvuloplasty
