Venous Emergencies Flashcards
Primary Varicose veins risk factors?
Females, obesity, birth control pills
Secondary varicose veins are caused by two types
DVT and AVF’s
Compression of the pelvic veins leads to a certain AVF pathology, what is it called?
May-Thurner syndrome
What are the clinical signs of CVI?
Leg heaviness/ pain relieved by leg elevation, night cramps, etc…
When doing a thrill on cough test, what do we expect for a CVI?
Thrill on the saphenofemoral junction
Explain the single tourniquet test
Patient is supine, raises leg, tourniquet placed below saphenous opening, and then patient stands up
Which single tourniquet results means there is infact, saphenofemoral incompetence?
The veins full up quickly
Investigation of choice?
Duplex ultrasound
Surgical treatment for primary varicose veins, for those with long or short saphenous insufficiency?
Saphenofemoral disconnection combined with “Ligation and Stripping”
The ligation of only the saphenofemoral junction is called what?
Trendlenberg’s stripping
Most DVTs involve the proximal veins, which ones specifically?
Popliteal vein and superficial femoral
Gold standard investigation?
Ultrasound
Treatment of DVT has a protocol, what are the two steps
Anticoagulation followed by Thrombolysis
Explain protocol of anticoagulation
IV heparin, LMWH, etc…
Explain protocol of Thrombolysis
Urokinase and Streptokinase given via CDT to reduced systemic actions
