VLD - SVT

Question 1

True about Superficial Vein Thrombophlebitis EXCEPT

a. most commonly occurs in varicose veins but can occur in normal veins
b. thrombophlebitis migrans may signify a hidden visceral malignancy or a systemic disorder such as a bloody dyscrasia and/or a collagen vascular disease.
c. SVT frequently occurs as a complication of indwelling catheters
d. clinical signs of SVT include redness and warmth, but no pain/tenderness

Answer 1

D redness, warmth and tenderness

Question 2

Redness, warmth, tenderness along the distribution of the affected veins, associated with a palpable cord, + Fever and leukocytosis

Answer 2

Suppurative SVT

Question 3

How do you confirm SVT diagnosis?

Answer 3

DUS

Question 4

Concomitant lower ex DVT may be present in what percentage of patients with SVT?

Answer 4

5-40%

Question 5

After how many days should follow up DUS be done in patients with SVT, after initial DUS?

Answer 5

5-7 days

Question 6

The ff are applicable in managing SVT except

a. LMWHS
b. NSAIDs
c. Fondoparinux
d. Topical medications

Answer 6

NOTA

Question 7

Axillary-subclavian venous thrombosis with no clear cause, ASVT often have a history of performing prolonged repetitive motion activities which result to the sublavian vein, usually where it passes between the head of the clavicle and the first rib in association with the subclavius muscle.

Answer 7

Primary ASVT

Question 8

Odd one out:

a. Primary ASVT
b. venous thoracic outlet syndrome
c. Secondary ASVT
d. effort thrombosis
e. Paget-Scroetter syndrome

Answer 8

C

Question 9

Signs and symptoms of ASVT EXCEPT

a. asymptomatic
b. edema
c. tenderness
d. superficial venous enlargment

Answer 9

NOTA

Question 10

When is venography indicated for ASVT?

Answer 10

When there is nonconcordance between the duplex study and clinical suspicion.

Question 11

What should be the initial management for patients diagnosed with ASVT

Answer 11

Anticoagulation therapy

Question 12

What percentage of acute mesenteric ischemia occur as a result of mesenteric vein thrombosis?

Answer 12

15%

Question 13

Mortality rates in patients with MVT may approach

Answer 13

50%

Question 14

What are the symptoms of MVT?

Answer 14

nonspecific abdominal pain and distension
nausea
vomiting
diarrhea

may present with peritoneal signs in less than half

Question 15

Initial management of MVT

Answer 15

fluid resuscitation
Heparin anticoagulation
Bowel Rest

Question 16

The patient with MVT should be transitioned into oral anticoagulation once clinical status improves. This is done over ____ days ad continued for ______ months or indefinitely

Answer 16

3-4 days; 3-6 months