Venous disease

Question 1

What is normal drainage of the legs?

Answer 1

Superficial to deep veins

Question 2

What can cause venous hypertension?

Answer 2

Valvular imcompetence eg SFJ

Age

Standing up

Obesity

FH

Increase in pelvic pressure eg pregnancy or malignancy

Question 3

What are some complications of venous hypertension?

Answer 3

Varicose veins

DVT

Pitting oedema

Varicose eczema

Venous ulcers

Question 4

Why do you get varicous eczema?

Answer 4

Inflammation and fibrosis of the skin due to chronic oedema and haemosiderin deposit.

This causes flaking and skaling and lipodermatosclerosis

Question 5

What is this and why do you get it?

Answer 5

Varicose Veins

Question 6

What is this and why do you get it?

Answer 6

Haemosiderin deposit

RBC in soft tissue due to oedema

Question 7

What is this and why do you get it?

Answer 7

Lipodermatosclerosis (inverted champagne bottle)

Recurrent inflammation due to oedema

Question 8

Why do you get venous ulcers?

Answer 8

Poorly understood

Believed to be cause of venous hypertension causing endothlial damage and inflammation and damage

Question 9

What is this?

Answer 9

Venous leg ulcer

Question 10

Summary of ulcers

Answer 10

SEE SHEET

Question 11

What is this?

Answer 11

Varicose Eczema