varicose veins

Question 1

Define

Answer 1

Dilated superficial veins of venous sytem

Question 2

Pathophysiology of varicose veins?

Answer 2

The valves between the superficial and deep veins are messed up so there is backflow of blood from deep to superficial veins leading to bulging superficial veins

Question 3

Common sites for varicose veins?

Answer 3

Sapheno-femoral

Sapheno-popliteal

Question 4

What are perforator veins?

Answer 4

They connect superficial veins to deep veins

Question 5

Causes? primary and secondary

Answer 5

Primary= prolonged standing, pregnancy etc
Secondary= dvt will damage the valves etc, constipation, overactive pumps for cyclists etc

Question 6

Presentation (4)

Answer 6

Pain
Cramps
Big dilated veins in legs
Swelling

Question 7

Ix

Answer 7

Duplex ultrasonography» can visualise the abnormality in the vein

Question 8

(3) Mx?

Answer 8

Conservative» reduce eating to decrease the pressure on legs, stockings to compress the veins
Minimally invasive&raquo_space; injection sclerotherapy to shrink the bulging veins
Surgical&raquo_space; small saphenous vein and large saphenous vein ligation

Question 9

complications (1)

Answer 9

venous ulceration