Superficial thrombophlebitis Flashcards
1
Q
What is superficial thrombophlebitis?
A
Erythema, induration and tenderness along the superficial vein. Usually spontaneous (may follow cannulation).
Most common in greater saphenous vein and its tributaries.
2
Q
Aetiology of superficial thrombophlebitis?
A
- Infectious: suppurative phlebitis (AEx cannulation)
- Trauma
- Inflammatory: varicose veins, Buerger’s disease, SLE
- Haematologic: polycythemia, thrombocytosis
- Neoplastic: occult malignancy (esp pancreatic)
- Idiopathic
3
Q
CFx superficial thrombophlebitis?
A
Pain and cord like swelling along course of vein.
4
Q
Ix superficial thrombophleibits?
A
Doppler (exclude DVT)
5
Q
Conservative Rx superficial thrombophlebitis?
A
-Conservative: moist heat, compression bandages, mild analgesic, anti-inflammatory and anti platelet (e.g. ASA), LMWH, ambulation.
6
Q
Surgical Mx superficial thrombophlebitis?
A
Surgical excision of involved vein.
Indication: failure of conservative measures.
