Question | Answer |
located in superficial compartment of subQ tissue | superficial venous system |
located in deep muscle compartment bounded by fascia | deep venous system |
connect deep to deep or superficial to superficial | communicating v's |
connect superficial to deep v's | perforating v's |
intradermal, <1mm, red color | telangiectasias |
subdermal, 1-3mm, bluish color | reticular |
subQ, >3mm, may involve saphenous or other superficial leg v's | varicose v's |
more common in women than men | varicose v's |
intrinsic BV wall weakeness, increased intraluminal pressure, or congenital valve defects | varicose v's |
laser therapy, surgical ligation, ablation | treatment for symptomatic varicose v's |
inc fluid volume in skin/subQ tissues | edema |
due to extravasated RBCs that usually accumulate at ankle/leg | pigmentation |
erythematous dermatitis, often occuring near varicose v's | eczema |
localized chronic inflammation/fibrosis of skin and subQ | lipodermatosclerosis |
associated w/contracture of achilles tendon | lipodermatosclerosis |
caused by damage to valves from trauma or prior thrombosis | venous reflux |
pleuritic chest pain, tachypnea, dyspnea, tachycardia, cough, hemoptysis | acute PE |
pulm HTN and right sided HF | chronic DVTs/Pes |
Virchow's triad | stasis of blood flow, vascular damage, hypercoagulable state |
normal D-dimer | excludes DVT and/or PE |
extremely sensitive for proximal v's and calf v's | venous duplex ultrasound |
used for direct visualization of thrombus and ID absence of flow through BV | venous duplex ultrasound |
family hx of… | venous thromboembolism |
recurrent… | DVT |
unexplained DVT in pt < … | 50 yrs |
thrombosis in .. | unusual vascular beds |
warfarin induced.. | skin necrosis |
anticoagulant used initially | heparin |
anticoagulant used for long-term management | coumadin |
time of anticoagulation in pt w/1st DVT due to reversible cause | at least 3 months |
time of anticoagulation in pt w/unprovoked proximal DVT | indefinite |
used in pts w/contraindication to anticoagulation | IVC filter |
used in pts w/recurrent DVT despite adequate anticoagulation | IVC filter |
erythema, tenderness, and edema w/local heat | superficial thrombophlebitis |