Examination of the LE Venous Flashcards

1
Q

Name the veins in the deep LE venous system

A

common femoral vein
greater saphenous vine
femoral vein
deep femoral vein
popliteal vein
PTV
peroneals

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2
Q

where does the GSV insert into

A

The CFV

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3
Q

where does the LSV

A

the popliteal

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4
Q

how does blood flow in the communicating veins

A

from superficial vein to deep vein

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5
Q

how does venous blood return to the heart

A

calf muscle pump
breathing

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6
Q

with an expiration what happens to flow

A

increase

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7
Q

with inspiration what happens to flow

A

decrease

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8
Q

symptoms of DVT

A

pain
swelling
redness, warm
chronic venous insufficiency

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9
Q

what can mimick a DVT

A

muscle strain
rupture of bakers cyst
superficial thrombus
cellulitis, lymphangitis, inflammatory lymphadema
trauma

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10
Q

what is virchows triad

A

venous stasis
hypercoagubility
vessel wall damage

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11
Q

risk factors for DVT

A

smoking
bed rest
stroke
surgery
malignancy
cardiac disease
pregnancy
obesity
past history

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12
Q

what is a PE (pulmonary embolism)

A

blockage of bronchial artery in the lungs from thrombus

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13
Q

symptoms of PE

A

SOB
chest pain
coughing blood
mild fever

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14
Q

sono appearance of acute thrombosis

A

anechoic echo
free floating lumen
veins distended
thrombus is soft pliable
lost of compression

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15
Q

sono appearance of subacute thrombosis

A
  1. increased echogenicity
  2. adheres to wall
  3. decreased distention of vien
  4. more organized
  5. non compressible vein
  6. possible collaterals
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16
Q

chronic thrombosis appearance

A
  1. markedly echogenic
  2. vein may be smaller
  3. wall irregularities
  4. valve abnormalities
  5. formation of collaterals
17
Q

how do primary varicose veins develop

A

weakness of the venous valves in the superficial vein
incompetence of the valves in the GSV or LSV

18
Q

what is venous valvular insufficiency

A
  1. flow antegrade and retrograde in the deep veins
  2. pressures increased
  3. deep and communicating veins are affected
  4. varicosities develop
19
Q

changes in the lower extremities due to varicosities

A
  1. hyperpigmentation
  2. ulcer formation
  3. pain and swelling
  4. pain with exercise