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Flashcards in VAS Deck (10):
1

SFJ

Saphenofemoral junction

2cm lateral and below pubic tubercle

2

CEAP classification of VV

Clinical: Grading 0-6

Etiology: Congenital / Primary / Secondary

Anatomic: Superficial / Perforator / Deep

Pathophysiology (Reflux / Obs / Both)

3

Cx of VV

Bleeding
Thrombophlebitis

4

Tx of VV

Principle = Reduce venous pressure

Conservative
- Elevation, postural adjustments
- Graduated compression stockings

Surgery
- Ligate incompetent perforators
- Removed diseased veins
o Sapheno-femoral flush ligation
o Avulsion/Excision of varicosities
o Stripping
o Ligation of perforators (open/endoscopic)
- Injection sclerotherapy (not for primary tx)

5

Leg ulcers

Arterial: signs, pain, pressure areas

Venous: signs of CVI, good pulse, less painful, typical site

Neurogenic: painless, neuropathy (DM etc.)

Malignant: SCC, irregular raised edges, biopsy, Marjolin's ulcer, LNs

Infection: chronic osteomyelitis, syphilis

Trauma

6

Virchow's triad for DVT

Stasis
Endothelial injury (trauma)
Hypercoagulability

7

Sx of Chronic LL ischemia

1. Intermittent claudication
2. Rest pain
3. Tissue loss

Intervention if Rest pain or tissue loss

8

Ankle-brachial index ABI

Ankle over Arm systolic pressure
Normal >=1
<0.9 = Chronic arterial disease
0.3/0.4 = Rest pain, critical limb

9

Buerger's disease (Thromboangiitis obliterans)

Male, 30-40y, Smoker
Pan-arteritis
LL > UL
Rest pain, digital ulcer, gangrene

Stop smoking

10

6P for acute arterial occlusion

1. Pain
2. Paresthesia
3. Pallor
4. Pulselessness
5. Paralysis
6. Perishing cold