peripheral venous disease Flashcards

1
Q

treatment of varicose veins

A

injection with ultrasound-guided foam scleropathy
or
thermal ablation

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2
Q

where does thrombosis usually occur

A

in veins of the leg and pelvis

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3
Q

where does superficial thrombophlebitis common occur

A

the saphenous veins

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4
Q

what symptoms of superficial thrombophlebitis

A

painful, tender, cord-like structure with associated redness and swelling

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5
Q

treatment of superficial thrombophlebitis

A

bed rest and analgesics

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6
Q

when does thrombosis occur

A

after periods of immobilisation

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7
Q

where does DVT occur

A

in veins of the calf

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8
Q

symptoms of DVT

A
  • pain in calf
  • swelling, redness
  • affected calf if warm
  • ankle oedema
  • cyanotic discolouration
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9
Q

what can occur with DVT

A

PE

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10
Q

what score is used for DVT

A

Wells Score

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11
Q

what is done for investigation

A

Doppler ultrasound

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12
Q

what is main aim of therapy

A

to prevent PE

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13
Q

what must all patients be with thrombi above the knee

A

anticoagulated

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14
Q

what has replaced heparin

A

LMWH

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15
Q

what is DVT treated with

A

at home with LMWH

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16
Q

what is done when INR is in target range

A

warfarin is started and heparin stopped

17
Q

how long is warfarin given for

A

3 months but 4 weeks is long enough

18
Q

what do recurrent DVTs need

A

permanent anticoagulatns

19
Q

what is target INR

A

2.5

20
Q

risk factors for venous thrombosis

A
  • cancer treatment
  • age >60
  • long distant flight
  • obesity
  • hormone replacement e.g. contraceptive pill
  • pregnancy
21
Q

what should at risk patients get

A

prophylaxis e.g. fondaparinux or LMWH