Varicose Veins

Question 1

What are risk factors?

Answer 1

FH
Pregnancy
Prolonged sitting or standing
History of DVT

Question 2

What is found on examination?

Answer 2

Examine standing and lying down

3mm+ in diameter when standing

Assess for chronic venous insufficiency
-skin hyperpigmentation
- venous eczema
- atrophie blanche

Question 3

When should we investigate?

Answer 3

If concerned
Doppler US for ?DVT

Question 4

What is the management?

Answer 4

Reassurance
Reduce risk factors e.g. weight loss avoid prolonged sitting or standing
Compression stockings

Question 5

When should we refer to vascular surgery?

Answer 5

Associated pain/itching/swelling
Lower limb skin changes
Superficial vein thrombosis
Ulceration