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LMC Ultrasound > Venous Test > Flashcards

Venous Test Flashcards

1
Q

Can we compress the jugular vein?

A

True

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2
Q

What is the purpose for doing superficial vein mapping?

A

Determine if the vein is suitable for arterial bypass

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3
Q

What is the purpose for doing venous reflux testing?

A

Determine if the valves are competent and if they are incompetent the location

pg. 135 4th ed.

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4
Q

Which veins would be difficult to compress in the upper extremity?

A

Brachiocephalic
Subclavian
Prox axillary

pg. 151 4th ed.

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5
Q

What is Virchow’s triad?

A

Venous thrombosis occurs when 3 conditions existed

  1. Circulatory stasis
  2. Vein wall (intimal) injury
  3. Hypercoagulability state

pg. 111 4th ed.

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6
Q

What is the longest vein in the body?

A

Greater saphenous

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7
Q

What is the most important criteria when doing venous duplex?

A

The response of the vein when transducer pressure is applied?

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8
Q

After an augment, it is considered venous reflux when the time the flow pattern is above baseline is greater than _______.

A

greater or equal to 1 second

pg. 138 4th ed.

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9
Q

Is the superficial femoral vein a deep vein?

A

Deep

pg. 97 4th ed.

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10
Q

What plane is it best to image in order to get duplex venous signal?

A

Longitudinal

pg. 116 4th ed.

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11
Q

What veins have venous valves?

A

FV: 4 valves
Pop: 2 valves
CALF VEINS: each 10 valves (total: 30 valves)

pg. 136 4th ed.

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12
Q

Near which canal does the common femoral vein lie?

A

Scarpa’s canal?

Quizlet

Adductor canal?
Chapter 5 p 97

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13
Q

What upper extremity veins are superficial?

A

Cephalic
Basilic
Median cubital

pg. 149 4th ed.

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14
Q

What upper extremity veins are deep?

A 
Superior Vena Cava
Innominate
Internal jugular
Subclavian
Axillary
Brachial
Radial
Ulnar
Interosseous

pg. 149 4th ed.

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15
Q

What is the perforator in the distal thigh called?

A

Hunterian perforator

pg. 102 4th ed.

Dodds perforator

Quizlet

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16
Q

Adequate pressure has been applied to compress a vein when _______.

A

There is moderate probe pressure and only the vein collapses

pg. 113 4th ed.

17
Q

We might see a pulsating signal in which upper extremity vein?

A

IJV
Subclavian
Axillary
Innominate

pg. 152 4th ed.

18
Q

We may not use a compression technique with which type of thrombus?

A

Floating thrombus

per Beth
pg. 124 4th ed.

19
Q

What is a potentially lethal complication of a DVT?

A

Pulmonary embolism

20
Q

What are the signs and symptoms of acute DVT?

A

Acute onset persistent calf pain/tenderness
Calf/leg swelling
Affects posterior/medial calf
Phlegmasia Cerula Dolens
-massive thigh and calf swelling
-cyanotic limb
-caused by iliofemoral thrombosis
Symptoms longer than 2-3 weeks are usually not caused by DVT
Anterior leg symptoms are not associated with DVT

pg. 111 4th ed.

21
Q

If a patient has incompetent valves, a sudden release of augmentation will lead to _______.

A

Retrograde blood flow

pg. 138 4th ed.

22
Q

What are the deep veins of the lower extremities?

A 
IVC
CIV
IIV
EIV
CFV
FV
PROFUNDA
POPLITEAL
ATV
PTV
PERONEALS
23
Q

What are the superficial veins of the lower extremities?

A

GSV

LESSER OR SMALL SAPH V

24
Q

What changes when you get to the popliteal?

A

The artery is inferior to the vein.

pg. 116 4th ed.

25
Q

A patient may come in frequently after having a DVT due to this condition.

A

Enigma?

pg. 126 4th ed

26
Q

What is a common reason for upper extremity DVT?

A 
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.

27
Q

What are the risks factors for DVT?

A 
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.

28
Q

What is the anatomical variant in the lower extremity?

A

Bifid femoral and popliteal veins

pg. 130 4th ed.

29
Q

What are some symptoms not related to venous imaging? (Difference between arterial and venous)

A 
Progressive symptoms lasting a long time
No swelling
Intermittent pain when walking
Foot/limb coolness
Rest pain in feet
Gangrene

pg. 112 4th ed.

30
Q

Why don’t we need an angle with venous imaging?

A

The flow is with respirations

pg. 131 4th ed.

31
Q

What position is best when imaging lower extremities?

A

semi-Fowler’s or reverse Trendelenburg
head of bed elevated 25-45 degrees

pg. 112 4th ed.

32
Q

The lesser saphenous drains into the _______ vein.

A

Popliteal V

pg. 98 4th ed.

33
Q

What does a valve look like? (Image on test)

A

pg. 106 4th ed.

34
Q

Identify upper extremity veins (image on test)

A

pg. 150 4th ed.

35
Q

Identify a Baker’s cyst (image on test)

A

pg. 128 4th ed.

36
Q

Popliteal vein and artery (image on test)

A

pg. 116 4th ed.

37
Q

Superficial femoral vein (image on test)

A

pg. 98 4th ed.

38
Q

What does reflux look like? (Image on test)

A

pg. 138,139 4th ed.

39
Q

What does a common femoral DVT look like? (Image on test)

A

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LMC Ultrasound (32 decks)

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