Module 6- Chronic Venous Pathology

Question 1

What is the appearance of more chronic DVT?

Answer 1

Higher echogenicity, retracted/stranding

Question 2

What is the issue with post thrombotic scarring? (Recanalization)

Answer 2

Fibrous strands are not at risk of embolizing but creates a site for new DVT

Question 3

Describe chronic venous insufficiency?

Answer 3

-Permanent damage to the valve leaflets which causes reflux, causing increasing symptoms over time (swelling, heaviness, aches, telangiectasia(spider veins))
-When severe: venous claudication (burning/cramping), stasis dermatitis (dry, flaky skin), ulcers

Question 4

Signs and symptoms of CVI (post thrombotic syndrome)

Answer 4

-swelling/pitting edema
-brawny discolouration/hyperpigmentation in the gaiter zone
-redness/rubor
-varicose veins