Varicose Vein Flashcards
Venous system of LL contains
Superficial venous system : Great saphenous vein & Short saphenous vein
Deep venous system : Paroneal veins , Ant. Tibial veins, Post. Tibial veins
SSV drains into
Saphenopopliteal junction (SPJ)
GSV drains into
SFJ
The cranial ( Posterior ) extension of SSV is known as
Vein of Giacomini which drains into the great saphenous vein
What is VV
Dialated tortuous veins with defective valves
Diameter of the vein should be how much to call it as varicose vein
> 3 mm
What is corona phlebectatica/malleolar flare
Fan shaped pattern of Telangiectasia (thread veins) on ankle or foot
Early signs of advanced venous disease
What is Atrophie Blanche
Whitish/depigmented area surrounded by thread vein
Early sign of advanced venous disease
Inverted champagne bottle appearance seen in
Lipodermatosclerosis
Which sign is seen on duplex scan in patient with varicose vein
Mickey Mouse appearance
(Femoral Vein , Great saphenous vein , Common saphenous artery )
Which clinical test is perform in varicose vein
Trendelenburg test
What is morrisey cough impulse
Ask the patient to cough , if cough impulse is felt at saphenofemoral junction —- inconpetence of SFJ
What is Schwartz test
Tap over incompetent vein
If thrill is felt at SFJ —— incompetence of SFJ
Which test denote the size of incompetent perforator
Fegan method & multiple tourniquets test
Which test is done to rule out DVT
Modified perthes test
What is the treatment of choice for vv
EVLT or RFA
Total number of perforators are
100-150
Which is the largest perforator
SFJ
Name of thigh perforator is
Hunterian
Above knee perforator is
Dodd
Below knee perforator is
Boyd
What are the three cocktail perforator
5,10,15 cm above medial malleolus
Which perforator are at the level of heel
May/kuster perforator
Name some of the sclerosis agent
3% sodium tertaacetyl sulphate
3% polidocanol
5% ethanolamine oleate
What is tessari method
Air as Sclerosant use (1:3 or 1:4)
Maximum sclerosant in one sitting is 10-12 ml)
What is the most common complication of varicose vein surgery
Wound infection
MC site for venous / varicose ulcer Is
Medial malleolus (gaiter area of leg)
Which regimen is used as management of varicose vein
BISGAARD regime
Only drug which is approved for the varicose vein management is
Pentoxifylline 
What is marjolin ulcer?
Malignant change seen in varicose vein.
Marjolin ulcer is
SCC
What is the management for marjolin ulcer?
Wide Excision
Cauliflower edges
What is klippel Trenaunay Syndrome
It is a mesoderm abnormality
Non familial syndrome
Vestigial veins present
Wife is the DD of klippel Trenaunay Syndrome
Park Weber’s Syndrome
Position of saphenofemoral junction
It has constant position (4 cm away from the pubic tubercle)
SSV is associated with which nerve
Sural Nerve
Which classification is used for varicose vein
CEAP
CLINICAL; ECOLOGICAL; ANATOMICAL; PATHPHYSIOLOGICAL
In which patients compression garments avoided
Patient with low ankle branchial pressure index
In EVLT how much nm laser is used
1470 nm
69 J/cm of heat
Compression garments class I to IV are
Class I : 14-17 mm Hg
Class II : 18-24 mm Hg
Class III . 25-35 mm Hg
Class IV : > 35 mm Hg
TOC in patient with VV are
Endothermal ablation
