venous system final year mbbs lecture
DESCRIPTION
" Final Year MB BS " Lecture by Mr. Adeel AbbasTRANSCRIPT
Mr. Adeel Abbas
ObjectivesUnderstand Relevant Surgical Anatomy.Understand Relevant Patho-Physiology.Categories Venous Insufficiency.Diagnosis & Management of the Disease.
How to Approach Questions in the Exam. . .
AnatomySuperficial Venous System.
Deep Venous System.
Perforating Venous System.
Superficial Venous System
Deep Venous System
Perforating Venous System
Physiology
Venous InsufficiencyCongenital.
Primary/Familial.
Secondary.
Primary Venous InsufficiencyTelangiectasis.
Reticular Veins.
Varicose Veins.
Telangiectasisa
Reticular Veins
Varicose Veins
PathologyMechanical Abnormalities;
Valve Failure.Cellular Abnormalities;
Capillary Permeability.Macrophage Infiltration.Extravascular Fibrin Prevents Normal
Exchange of O2 and Nutrients.Molecular Abnormalities;
Decrease Elastin & Collagen.
Risk FactorsAdvancing Age.Female Gender.Heredity.Iatrogenic (Post-A/V Fistula).
SymptomsHeaviness.Discomfort.Extremity Fatigue.Dull Pain, especially at Evening.Swelling.Cutaneous Burning.Pruritus.
Clinical ExaminationInspection;
Dilated / Visible / Tortuous SubCutaneous Veins.
Gaiter Area: Edema. Hemosiderin Deposition. Lipodermatosclerosis. Eczema. Ulceration.
Palpation;Tender Defects.Pitting Edema.SFJ & SPJ.Varix & Cough/Tap Impulse.Tourniquet / Trendelenburg Test.Perthes Test.Hand Held Dopler.
DiagnosisHand-Held Doppler.Duplex Ultrasound.Venography.MRVI.
TreatmentNon-Operative Management.
Interventional/Operative Management
Non-Operative ManagementChange Occupation.Avoid Long Standing.TED (Thrombo-Embolic Deterrent) Stockings.Lower Exterimity Elevation.Regular Exercise.Local Wound Care for ulcer.
Indications for Interventional Treatment;Cosmesis.Symptoms Refractory to Conservative
Management.Bleeding from Varix.Lipodermatoslerosis.Ulceration.Recurrent Thrombophlebitis.
Interventional Management;Injection Sclerotherapy (1-3% Na-Sotradecol
Solution)
Foam Sclerotherapy.
Laser Treatment.
Surgical Management;High Tie with Stripping.Phlebectomy.Endovenous Therapy.SEPS (Subfascial Endoscopic Perforator
Surgery).
S.E.QYoung Lady comes with edema of Both legs
with discolouration of lower legs & Prominent veins. She feels heaviness in legs.
What are the Causes of Varicose Veins?What is the Pathophysiology?What types of management are available for a
patient with varicose veins?
MCQsRegarding Varicose Veins:
Are Tortuous, Dilated, Prominent, Superficial Veins in the lower limbs.
May occur after formation of A.V fistula.Duplex Ultrasounf is Standard Method of
assessing venous anatomy & function.1-3% Phenol in Almond Oil is used for
sclerotherapy.Laser Therapy is
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