Varicose veins and chronic venous insufficiency Flashcards
What item of clothing should be removed to examine varicose veins?
trousers
Which veins do you commonly find varicosities in
long saphenous vein and short saphenous vein
Where can you find the short saphenous vein?
the back of the leg
Where can you find the long saphenous vein?
medial thigh and leg
What are varicose veins?
veins that have become enlarged and twisted
Apart from the legs, where else may you see varicose veins in men?
scrotum
What does the pooling of blood in chronic venous insufficiency lead to?
an inflammatory reaction
What are the risk factors for varicose veins?
being female
obesity
people who stand or cross their legs for long periods
Where can you find the saphenofemoral junction?
4cm lateral and 4cm inferior to the pubic tubercle
What is a saphenovarix
Varicosity at the saphenofemoral junction
Which two tests should you perform in the OSCE?
cough test
tap test
What two tests are not performed in the OSCE?
trendelenburg and perthe’s
How would you further investigate varicose veins?
doppler probe
What should you also examine to complete?
abdomen
What are you looking for when you inspect the legs?
varicosities venous eczema oedema lipodermatosclerosis haemosiderin deposition venous ulceration scars
