vascular teaching 2

Question 1

define varicose veins

Answer 1

abnormally dilated, greater than 3mm, subcutaneous torturous veins

Question 2

3 types of veins

Answer 2

superficial, deep, (connected by perforating/communicating)

Question 3

women vs men varicose veins

Answer 3

25-30% women, 15% in men

Question 4

major varicose veins risk factor

Answer 4

pregnancy - less mobile, and increased pressure in veins due to increased intra abdominal pressure

Question 5

risk factors for varicose veins

Answer 5

age, bmi, pregnancy, Fhx, smokers, occupation (desk job/standing all day not moving)

Question 6

how do we classify varicose veins

Answer 6

ceap classification (high yield)

Question 7

what to be aware of in terms of interventions for varicose veins

Answer 7

competency of deep venous system (if occluded and not functioning then do not remove varicose veins)

Question 8

investigation for varicose veins

Answer 8

venous duplex ultrasound

Question 9

first line management for varicose veins causing ulcer with normal ABPI if not an emergency

Answer 9

compression bandaging

Question 10

what is compression bandaging

Answer 10

4 layers: wool, crepe, elastic compression bandage, cohesive

MAKE SURE NO ARTERIAL DISEASE

Question 11

arterial vs venous disease pain

Answer 11

arterial is classically painful and venous often isn’t

Question 12

virchows triad

Answer 12

stasis, hyper coagulability, vessel wall injury

Question 13

is provoked or unprovoked DVT more dangerous

Answer 13

unprovoked

Question 14

DVT pharmacological management

Answer 14

3 months minimum for provoked, 3-6 months unprovoked

Usually DOAC

Question 15

scoring system for DVT

Answer 15

Well’s score