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Surgery > Varicose Vein > Flashcards

Varicose Vein Flashcards

1
Q

Venous system of LL contains

A

Superficial venous system : Great saphenous vein & Short saphenous vein
Deep venous system : Paroneal veins , Ant. Tibial veins, Post. Tibial veins

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2
Q

SSV drains into

A

Saphenopopliteal junction (SPJ)

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3
Q

GSV drains into

A

SFJ

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4
Q

The cranial ( Posterior ) extension of SSV is known as

A

Vein of Giacomini which drains into the great saphenous vein

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5
Q

What is VV

A

Dialated tortuous veins with defective valves

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6
Q

Diameter of the vein should be how much to call it as varicose vein

A

> 3 mm

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7
Q

What is corona phlebectatica/malleolar flare

A

Fan shaped pattern of Telangiectasia (thread veins) on ankle or foot
Early signs of advanced venous disease

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8
Q

What is Atrophie Blanche

A

Whitish/depigmented area surrounded by thread vein
Early sign of advanced venous disease

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9
Q

Inverted champagne bottle appearance seen in

A

Lipodermatosclerosis

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10
Q

Which sign is seen on duplex scan in patient with varicose vein

A

Mickey Mouse appearance
(Femoral Vein , Great saphenous vein , Common saphenous artery )

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11
Q

Which clinical test is perform in varicose vein

A

Trendelenburg test

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12
Q

What is morrisey cough impulse

A

Ask the patient to cough , if cough impulse is felt at saphenofemoral junction —- inconpetence of SFJ

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13
Q

What is Schwartz test

A

Tap over incompetent vein
If thrill is felt at SFJ —— incompetence of SFJ

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14
Q

Which test denote the size of incompetent perforator

A

Fegan method & multiple tourniquets test

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15
Q

Which test is done to rule out DVT

A

Modified perthes test

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16
Q

What is the treatment of choice for vv

A

EVLT or RFA

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17
Q

Total number of perforators are

A

100-150

18
Q

Which is the largest perforator

A

SFJ

19
Q

Name of thigh perforator is

A

Hunterian

20
Q

Above knee perforator is

A

Dodd

21
Q

Below knee perforator is

A

Boyd

22
Q

What are the three cocktail perforator

A

5,10,15 cm above medial malleolus

23
Q

Which perforator are at the level of heel

A

May/kuster perforator

24
Q

Name some of the sclerosis agent

A

3% sodium tertaacetyl sulphate
3% polidocanol
5% ethanolamine oleate

25
Q

What is tessari method

A

Air as Sclerosant use (1:3 or 1:4)
Maximum sclerosant in one sitting is 10-12 ml)

26
Q

What is the most common complication of varicose vein surgery

A

Wound infection

27
Q

MC site for venous / varicose ulcer Is

A

Medial malleolus (gaiter area of leg)

28
Q

Which regimen is used as management of varicose vein

A

BISGAARD regime

29
Q

Only drug which is approved for the varicose vein management is

A

Pentoxifylline 

30
Q

What is marjolin ulcer?

A

Malignant change seen in varicose vein.

31
Q

Marjolin ulcer is

A

SCC

32
Q

What is the management for marjolin ulcer?

A

Wide Excision
Cauliflower edges

33
Q

What is klippel Trenaunay Syndrome

A

It is a mesoderm abnormality
Non familial syndrome
Vestigial veins present

34
Q

Wife is the DD of klippel Trenaunay Syndrome

A

Park Weber’s Syndrome

35
Q

Position of saphenofemoral junction

A

It has constant position (4 cm away from the pubic tubercle)

36
Q

SSV is associated with which nerve

A

Sural Nerve

37
Q

Which classification is used for varicose vein

A

CEAP
CLINICAL; ECOLOGICAL; ANATOMICAL; PATHPHYSIOLOGICAL

38
Q

In which patients compression garments avoided

A

Patient with low ankle branchial pressure index

39
Q

In EVLT how much nm laser is used

A

1470 nm
69 J/cm of heat

40
Q

Compression garments class I to IV are

A

Class I : 14-17 mm Hg
Class II : 18-24 mm Hg
Class III . 25-35 mm Hg
Class IV : > 35 mm Hg

41
Q

TOC in patient with VV are

A

Endothermal ablation

Surgery (30 decks)

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