Venous Disease

Question 0

Deep veins have what kind of pressure and walls?

Answer 0

higher pressures, thin walls

Question 1

mechanism behind chronic venous disease?

Answer 1

venous return impaired»venous hypertension

Question 2

superficial veins have what kind of wall and pressures?

Answer 2

thick walls, lower pressures

Question 3

path of great saphenous?

Answer 3

ant. medial malleoli»medial calf»femoral vein

Question 4

path of small saphenous vein

Answer 4

posterior calf»popliteal vein

Question 5

veins in the deep system path starting at tibial

Answer 5

Tibial»popliteal»superficial femoral»common femoral>external iliac»common iliac

Question 6

what are perforating veins?

Answer 6

join superficial to deep

Question 7

2 theories of why venous insifficiency»ulcers

Answer 7

1. white cell trapping: plugs capillaries, RBC build up»activation»endothelial/tissue damage
2. Fibrin cuff: more pressure»endothelial permeability»fibrin deposition»hypoxia

Question 8

what is fatty tissue and dermis denaturation called?

Answer 8

lipodermatosclerosis

Question 9

varicose veins happen how?

Answer 9

abnormal blood flow, become tortuous

Question 10

what is primary varicose veins?

Answer 10

only superficial, no deep incompetance

Question 11

what are secondary varicose veins? how formed?

Answer 11

deep venous incompetence from recanalization of previous DVT

Question 12

what is the only 2 solid predisposing factors to varicose veins?

Answer 12

genetics

previous DVT

Question 13

classic presentation of lipodermatosclerosis?

Answer 13

inverted champagne bottle

Question 14

what is atrophie blanche?

Answer 14

white depressed weak scars

Question 15

2 investigations for varicose veins?

Answer 15

venous duplex

descending venography

Question 16

3 most common kinds of ulcers?

Answer 16

ischaemic
neuropathic
stasis/venous

Question 17

hospital has more what kinds of ulcers?

Answer 17

ischaemic

Question 18

community you have more which kinds of ulcers?

Answer 18

stasis/venous

Question 19

how to tell a neoplastic ulcer?

Answer 19

edge is raised with possible necrotic core

Question 20

4 main features of ischaemic ulcers?

Answer 20

painful
hx of claudication
CVD risk factors
prev vascular sx

Question 21

location of ischaemic ulcers?

Answer 21

distal periphery, usu dorsum of foot/pretibia

Question 22

edges of ischaemic ulcers?

Answer 22

punched out

Question 23

inflammation in ischaemic ulcers??

Answer 23

very little

Question 24

bleeding with ischaemic ulcers??

Answer 24

little bleeding during debridment

Question 25

2 main features of neuropathic ulcers?

Answer 25

painless

hx of DM or MS or SCI

Question 26

location of neuropathic ulcers?

Answer 26

pressure points of calluses

Question 27

what history predisposes to Venous ulcers

Answer 27

varicose veins
DVT
variceal bleeding
prev venous sx

Question 28

edges of venous ulcers?

Answer 28

large/irregular

Question 29

depth of venous ulcers?

Answer 29

shallow

Question 30

location of venous ulcers?

Answer 30

gaiter area: medial malleolus

Question 31

venous ulcers surrounded by 2 things?

Answer 31

zone of inflammation

stasis dermatitis

Question 32

arterial ulcers size and depth?

Answer 32

small

deep