Vein Disorders

Question 1

increase in venous pressure (superficial veins) seen in obese and pregnant patients

Answer 1

varicose veins

Question 2

venous stasis, edema, pain and thrombosis

Answer 2

varicose veins

Question 3

new Rx for varicose veins

Answer 3

laser ablation surgery

Question 4

dilated veins

Answer 4

varices

Question 5

due to portal hypertension and associated w/ liver cirrhosis

Answer 5

esophageal varices

Question 6

due to prolonged pelvic pressure

Answer 6

hemorrhoids

Question 7

what drains small intestine into liver

Answer 7

superior and inferior mesenteric veins

Question 8

why sleepy after eating lunch

Answer 8

brain trying to sleep and divert energy to gut to breakdown food to go to liver

Question 9

causes blood supply coming to liver to back up along curvature of stomach and esophageal veins, and become esophageal varices

Answer 9

liver cirrhosis

Question 10

hemorrhoids where feel pressure, no pain

Answer 10

above pectineal line

Question 11

hemorrhoids where feel pain

Answer 11

below pectineal line

Question 12

Answer 12

esophageal varices

Question 13

thrombosis and inflammation of deep leg veins

Answer 13

thrombophlebitis/Phleothrombosis

Question 14

presents w/ erythema, edema, painful to touch on leg

Answer 14

deep vein thrombosis

Question 15

what are you worried about w/ DVT

Answer 15

pulmonary embolus

Question 16

overweight smoker on plane w/ sclerosis

Answer 16

worried about pulmonary embolism

Question 17

bedrest and sitting on plane overseas can lead to this

Answer 17

DVT

Question 18

pain elicited by pressure over the affected vein, squeezing the calf, or forced dorsiflexion of foot

Answer 18

Homan sign (DVT)

Question 19

how do you die with pulmonary embolism?

Answer 19

obstructed pulm. trunk
backup of flow to R heart
balloons out (thin wall)
fatal arrythmia

Question 20

arrows pointing to

Answer 20

veins (both have DVT)

Question 21

where can the worst PE happen

Answer 21

in b/t R and L pulmonary arteries at base of trunk
(saddle embolus)

Question 22

R to L flow that goes through the atriums into systemic circulation and to brain and stroke out and die

Answer 22

paradoxical emboli

Question 23

many clots (venous thrombi) due to cancer; paraneoplastic syndrome

Answer 23

Troussea sign (migratory thrombophlebitis)

Question 24

obstruction of either SVC or IVC due to some sort of cancer

Answer 24

SVC or IVC syndrome

Question 25

ex. lung cancer compressing SVC; leading to distension of jugular veins and red hue of face

Answer 25

SVC syndrome

Question 26

ex. cancer in lung

Answer 26

SVC syndrome

Question 27

ex. cancer in liver

Answer 27

IVC syndrome

Question 28

vascular congestion of the ear, will lose it in 24 hours, what do you do

Answer 28

use leeches
draws out blood and veins have time to grow and anastamose