Varicous Veins

Question 1

Anatomy of leg veins ?

Answer 1

Superficial vein which is great ( medial thigh and leg drain to femoral vein)and
small saphenous veins ( posterior drain to popliteal vein posterior aspect of the knee )
Deep vein running between the muscular compartments
Perforators in the calf hand thigh connects superficial as deep systems

Blood passes from superficial to deep via perforator veins

Question 2

Varicose veins ?

Answer 2

Torturous diluted segments of veins associated with Venus hypertension which is caused by valves incompetency
More common in females
typical various veins auto superficial branches of long and short saphenous veins

Question 3

Who’s the factors of varicose vein?

Answer 3

Advanced age 
prolong standing
 high BMI smoking 
poor lifestyle 
pregnancy 
previous DVT 
lower limb trauma
 high estrogen states

Question 4

Symptoms of varicose veins?

Answer 4

Pain
heaviness of the leg
 Edema 
dry skin 
tightness 
itchiness

Question 5

Complications of varicose veins ?

Answer 5

Dermatitis eczema
 Lipodermatosclerosis  
skin pigmentation 
ulceration 
bleeding

Question 6

Diagnosis and investigation?

Answer 6

Clinical diagnosis
examine the abdomen for any masses
Trendelenburg test and perthes test
ultrasound duplex of superficial and deep veins

Question 7

Management of varicose veins?

Answer 7

Conservative such as leg elevation exercise and weight loss
medical : compression stocking , sclerotherapy , topical agents moisturizing creams
surgical : radio frequency , ablation laser .