Superficial Thrombophlebitis

Question 1

What is superficial thrombophlebitis?

Answer 1

Results from thrombus formation in superficial veins (saphenous vein and tributaries in lower limb)

Question 2

What are the risk factors for superficial thrombophlebitis?

Answer 2

• Varicose veins
• Thrombophilia
• IV cannula or drug administration
• Pregnancy
• Cancer
• Previous Hx

Question 3

What is the presentation of superficial thrombophlebitis?

Answer 3

• Pain
• Tenderness
• Itching
• reddening of skin
• Hardening of surrounding tissue
• Pigmentation changes of overlying skin

Question 4

What is the prognosis of superficial thrombophlebitis?

Answer 4

• Uncomplicated usually benign and self limiting, symptoms subside in 1-2weeks
• high likelihood of recurrence is varicose veins

Question 5

What is the management of superficial thrombophlebitis?

Answer 5

• If serious underlying cause (cancer) referral to specialist
• Manage pain: paracetamol/NSAIDs
• Self care advice: warm moist towel to area, avoid immobility, elevate leg when sitting
• Compression stocking (after excluding arterial insufficiency)
• Screen for coag disorder