Venous and Lympatic Disease Flashcards
Varicose Veins
dilated, often superficial vein
where are varicose veins most commonly found
lower limbs
Where on the lower limbs are varicose veins normally found?
long saphenous
saphenofemoral junction
short saphenous vein
Varicose veins risk factors
age
female
pregnancies
DVT
standing for long periods
family history
Varicose veins diagnosis
burning
itching
oozing
tightness swelling
discolouration
bleeding
Special tests for varicose veins
use a doppler probe to listen over the sphenofemoral junction
tap test - tap the junction
Varicose veins investigation
ultrasound
valves
Treatment of varicose veins should be offered if the patient complains of…
bleeding varicose veins
symptomatic (aching, discomfort)
recurrent
lower limb skin changes
superficial venous thrombosis
Management options for varicose veins
endogenous treatment
ultrasound guided foam sclerotherapy
open surgery
endogenous treatment of varicose veins
wire cannulated under ultrasound guidance
up to junction
local anaesthetic
injury of vessel causes fibrosis and occlusion - therefore the vein disappears
Foam sclerotherapy
chemical foam under ultrasound guidance
foam damages vessel walls causing fibrosis and occlusion
open surgery
groin incision made - junction is exposed
saphenous vein is ligated from the femoral vein - stops the vein out
Venous insufficiency types
failure of calf muscle pump
superficial venous reflex
venous obstruction
Chronic venous insufficiency can lead to
oedema
eczema
hypopigmetation
ulceration
treatment for venous insufficiency
wound care
elevation
compression bandages
shockwave therapy
