Varicose Veins Flashcards
What is it?
Main cause
Tortuous dilated superficial veins usually in legs
Valve incompetence
S+S:
It can be assymptomatic!
What type of pain do they have when standing?
What do a lot of patients also complain of?
What skin manifestations may occur? - 2
Aching pain on standing
Poor cosmetic look
Venous ulcers and eczema
Risk factors
FH
Prolonged standing
Abdominal or pelvis masses compressing IVC or iliac veins e.g. pregnancy
What imaging is done?
Doppler US
Management:
Conservative - 2
What should be avoided?
Analgesia can also be used for pain!
Compression therapy with stockings
Weight loss
Avoid prolonged standing - think hairdressers
Analgesia
Surgery:
When is surgery needed?
Options? -4
Pain
Ulceration
Poor cosmetic look (not on NHS)
Vein stripping
Radiofrequency
Lasar ablation
Injections
