Venous and Lymphatic Disease Flashcards Preview

CVS Pathologies > Venous and Lymphatic Disease > Flashcards

Flashcards in Venous and Lymphatic Disease Deck (19)
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1

What is a COMMON PATHOLOGY of the VENOUS system in the LOWER LIMBS?

Varicose Veins (VV)

2

Which VEINS does VV, predominantly, affect?

*Superficial Veins*

Long (Great) Saphenous Veins - 80-85% of cases

Short (Small) Saphenous Veins - 20-30%

3

What is AETIOLOGY of VV?

Valvular Incompetence

Leaflets of the Valves Do Not Meet Properly; Causing Blood to Flow Backwards, leading to Venous Distension

4

What are some of the CAUSES of VV?

1) > Age
2) Occupation - Prolonged Standing
3) Obesity
4) Pregnancy
5) Previous DVT/Major Trauma
6) Family History

5

What are some of the SYMPTOMS of VV?

1) Localised or Generalised Discomfort/Pain in Leg(s)
2) Nocturnal Cramps
3) Tingling
4) Heaviness
5) Restless Legs

6

What are some of the SIGNS of VV?

1) Peripheral Oedema
2) Acute Haemorrhage
3) Superficial Thrombophlebitis
4) Pruritus
5) Skin Changes

7

What are some of the INVESTIGATIONS for VV?

1) Examination - Have the patient Stand Up; Inspect for Signs and Symptoms
2) Doppler/Duplex Ultrasound

8

What are the TREATMENTS for VV?

*Affecting QOL; Not for Cosmetic Reasons Alone

1) Surgery
- Ligation (High-Tie)
- Stripping
- Multiple Stab Avulsions
2) Sclerotherapy
- Inject Foam or Liquid
3) Endovenous Laser Ablation (EVLA)
3) Compression - TED Stockings
4) Patient Education
- Modify diet, Lose Weight, etc

9

What are the potential CONTRAINDICATIONS for SURGERY to treat VV?

1) Previous DVT
2) Arterial Insufficiency
3) Comorbidities
4) Morbid Obesity

10

What are some of the common COMPLICATIONS of VV surgery?

1) Minor Haemorrhage
2) Thrombophelibitis
3) Haematoma
4) Wound Problems
5) Severe Pain

11

What are the ADVANTAGES of endovascular/minimally invasive treatments for VV?

1) < Surgical Trauma
2) < Time Off Work
3) Only Local Anaesthetic
4) Cost-Effective

12

How does CHRONIC VENOUS INSUFFICIENCY (CVI) differ from VV?

Incompetent DEEP Venous System as opposed to superficial

13

What are the CAUSES of CVI?

1) Inactivity
- Leads to Venous Engorgement and Stasis
2) > Venous HTN - Due to Failure of Skeletal Muscle Pump, Valves or Outflow Obstruction

14

What are some of the SIGNS of CVI?

1) Leg Ulceration
2) Peripheral Oedema

15

Do LEG ULCERATIONS caused by CVI cause PAIN?

No

16

What INVESTIGATIONS would be used for CVI?

1) Ankle-Brachial Pulse Index (ABPI)
2) Doppler/Duplex Ultrasound

17

What are the TREATMENTS for CVI?

1) Compression Therapy *Be Sure to Measure ABPI and Exclude Arterial Disease Beforehand
2) Dressings
- Non-adherent
3) Systemic and Topical Therapies
4) Legs Elevated at Rest
- For Oedema
5) Exercise

18

What are the CAUSES of LYMPHOEDEMA?

Primary = Idiopathic

Secondary

1) Malignancy
2) Surgery
3) Radiotherapy
4) Infection, i.e. Filariasis or TB

19

What are the TREATMENT OPTIONS for lymphoedema?

*Limited

1) Elevation and Manual Drainage
2) Pneumatic Compression