superficial thrombophlebitis, thrombosis, foot ulcers

Question 1

superficial thrombophlebitis causes

Answer 1

prolonged IV, varicose veins, polycythemia, buerger’s disease, recurrent migrating thrombophlebitis due to visceral malignancy

Question 2

tx of superficial thrombophlebitis

Answer 2

NSAIDs, compression stockings, bed rest

Question 3

superficial vein thrombosis main vein affected, investigation, tx?

Answer 3

mainly affects LSV
do duplex
tx: treat like DVT with anticoagulation (heparin)
or high ligation of LSV at SFJ especially if thrombus extends within 10cm of the SFJ

Question 4

describe neuropathic, venous, and arterial ulcers

Answer 4

neuropathic: located over malleoli, under metatarsal heads, heels, over toe joints. lack of pain. hypertrophic callus

venous: located over medial malleolus. with surrounding black discoloration from hemosiderosis.

arterial: located on heels, malleoli, tip of toes. ABSENT foot pulses