Chronic Venous Insufficiency Flashcards
1
Q
Risk Factors
A
FHx F>M Prolonged standing Parity Obesity Prior DVT or leg injury
2
Q
Varicose Veins - Clinical Presentation
A
Aching Heaviness and tension Feeling of swelling Restless legs Nocturnal cramps Itching that is worse when standing Elongated, tortusous, dilated and sacculated veins
3
Q
Venous Ulceration
A
Majority in medial/gaiter area
Irregular, with neoepithelium (whiter than mature skin)
Base is pink and granulating but may be sloughy
4
Q
Investigations
A
Duplex US - identifies the sites of reflux and obstruction
5
Q
Management
A
Compression hoisery
Surgical - ligation of vein, sclerotherapy, endovenous laser therapy
Wound care
