Progressive chronic venous insufficiency
Oedema Venous eczema Haemosiderosis Lipodermatosclerosis Atrophine Blanche Venous ulcers
Isolated SFJ incompetence trendelenberg test
No filling on standing
Rapid filling on release
Mixed SFJ and perforator vein incompetence
Slow filling on standing and rapid filling on release
Conclusion of LL venous
LL arterial – multifactorial ulcers
Perthes test – antero vs retro flow in superficial varicosities
Doppler US- incompetence
Perthes test
Elevate limb
Elastic band on leg
Obliterating superficial veins only
Walk for 5 minutes
PAIN IN LEG= INCOMPETENT DEEP SYSTEM
Post thrombotic syndrome
Chronic venous insufficiency secondary to DVT
Mgmt superficial thromboplebhitis
Analgesia NSAIDs Supportive stalkings Active exercise Remove vein if recurrence IV heparin if propogates towards deep veins
When do you get saphena varix
When standing
Disappears when supine