Peripheral Venous Disease

Question 1

What are 2 clinical characteristics of veins?

Answer 1

High capacitance vessels with thin walls

One way valves

Question 2

Dilated veins <1mm diameter that show a red color under the skin.

Answer 2

Telangiectasia

Question 3

Dilated veins 1-3mm that show a blue color under the skin.

Answer 3

Reticular Veins

Question 4

Dilated superficial leg veins that are >3mm

Answer 4

Varicose Veins

Question 5

What is lipodermatosclerosis?

Answer 5

Localized chronic inflammation and fibrosis of skin and subcutaneous tissue

Sometimes associated with scarring or contracture of Achilles tendon

Question 6

What is the composition of venous thrombosis?

Answer 6

Initially: fibrin and platelets
Later: RBCs and fibrin

Question 7

What is Virchow’s Triad?

Answer 7

1. Stasis of blood flow
2. Vascular Damage
3. Hypercoagulable State

Question 8

Treatment for superficial thrombophlebitis.

Answer 8

ASA or other NSAIDs for pain

-benign condition that does not lead to pulmonary embolism

Question 9

What is Treatment for DVT?

Answer 9

Anticoagulant therapy:
If caused by reversible or time limited event (driving long distance) then used for 3 months

If caused by genetics or family Hx, then used indefinitely