Venous System Test 1 Flashcards
Can we compress the jugular vein?
Yes?
It’s possible but we shouldn’t?
What is the purpose for doing superficial vein mapping?
Determine if the vein is suitable for arterial bypass
pg. 134 4th ed.
What is the purpose for doing venous reflux testing?
Determine if the valves are competent and if they are incompetent the location
pg. 135 4th ed.
Which veins would be difficult to compress in the upper extremity?
Brachiocephalic
Subclavian
Prox axillary
pg. 151 4th ed.
What is Virchow’s triad?
Venous thrombosis occurs when 3 conditions existed
- Circulatory stasis
- Vein wall (intimal) injury
- Hypercoagulability state
pg. 111 4th ed.
What is the longest vein in the body?
Greater saphenous
What is the most important criteria when doing venous duplex?
The response of the vein when transducer pressure is applied?
After an augment, it is considered venous reflux when the time the flow pattern is above baseline is greater than _______.
greater or equal to 1 second
pg. 138 4th ed.
Is the superficial femoral vein a deep vein?
Deep
pg. 97 4th ed.
What plane is it best to image in order to get duplex venous signal?
Longitudinal
pg. 116 4th ed.
What veins have venous valves?
FV: 4 valves
Pop: 2 valves
CALF VEINS: each 10 valves (total: 30 valves)
pg. 136 4th ed.
Near which canal does the common femoral vein lie?
Scarpa’s canal?
Quizlet
Adductor canal?
Chapter 5 in vascular book
What upper extremity veins are superficial?
Cephalic
Basilic
Median cubital
pg. 149 4th ed.
What upper extremity veins are deep?
Superior Vena Cava Innominate Internal jugular Subclavian Axillary Brachial Radial Ulnar Interosseous
pg. 149 4th ed.
What is the perforator in the distal thigh called?
Hunterian perforator
pg. 102 4th ed.
Dodds perforator
Quizlet
Adequate pressure has been applied to compress a vein when _______.
There is moderate probe pressure and only the vein collapses
pg. 113 4th ed.
We might see a pulsating signal in which upper extremity vein?
IJV
Subclavian
Axillary
pg. 152 4th ed.
We may not use a compression technique with which type of thrombus?
Floating thrombus
per Beth
pg. 124 4th ed.
What is a potentially lethal complication of a DVT?
Pulmonary embolism
What are the signs and symptoms of acute DVT?
Acute onset persistent calf pain/tenderness
Calf/leg swelling
Affects posterior/medial calf
Cyanosis limb
pg. 111 4th ed.
If a patient has incompetent valves, a sudden release of augmentation will lead to _______.
Retrograde blood flow
pg. 138 4th ed.
What are the deep veins of the lower extremities?
IVC CIV IIV EIV CFV FV PROFUNDA POPLITEAL ATV PTV PERONEALS
pg. 97-98 4th ed.
What are the superficial veins of the lower extremities?
GSV
LESSER OR SMALL SAPH V
Pg. 98-99 4th ed.
What changes when you get to the popliteal?
The artery is inferior to the vein.
pg. 116 4th ed.
A patient may come in frequently after having a DVT due to this condition.
Enigma?
pg. 126 4th ed.
What is a common reason for upper extremity DVT?
Paget-Schroetter Syndrome Graft placement - could cause intimal injury Compression of venous thoracic outlet Compression from a mass IV drug abuse Venipuncture
pg. 149, 156 4th ed.
What are the risks factors for DVT?
Post-op Hx DVT Cancer Trauma Pregnancy High-dose estrogen Birth control Immobility "economy class syndrome" Thrombophilia Bed rest > 4 days Paralysis
pg. 111 4th ed.
What is the anatomical variant in the lower extremity?
Bifid femoral and popliteal veins
pg. 130 4th ed.
What are some symptoms not related to venous imaging? (Difference between arterial and venous)
Progressive symptoms lasting a long time No swelling Intermittent pain when walking Foot/limb coolness Rest pain in feet Gangrene
pg. 112 4th ed.
Why don’t we need an angle with venous imaging?
The flow is with respirations
pg. 131 4th ed.
What position is best when imaging lower extremities?
semi-Fowler’s or reverse Trendelenburg
head of bed elevated 25-45 degrees
pg. 112 4th ed.
The lesser saphenous drains into the _______ vein.
Popliteal V
pg. 98 4th ed.
What does a valve look like? (Image on test)
pg. 106 4th ed.
Identify upper extremity veins (image on test)
pg. 150 4th ed.
Identify a Baker’s cyst (image on test)
pg. 128 4th ed.
Popliteal vein and artery (image on test)
pg. 116 4th ed.
Superficial femoral vein (image on test)
pg. 98 4th ed.
What does reflux look like? (Image on test)
pg. 138,139 4th ed.
What does a common femoral DVT look like? (Image on test)
pg. 114, 123 4th ed.