VARICOSE VEINS BY HAWRAA MAHDI UOK 2ND STAGE MEDICINE

PATHWAY LEADING TO VARICOSE VEINS AND OTHER CLINICAL MANIFESTATIONS OF VENOUS HYPERTENSION

Varicose veinTelangectesia Reticula vein

Varicose vein Lipodermatosclerosis Venous statis ulcer

COMPLICATIONS  Thrombophlebitis  pigmentation- black to brown due to RBC breakdown  eczema- extravasated rbc –> itching –> scratch – > eczema  Haemorrhage  deformity

HISTORY  Age usually in older people  Sex female > male  Occupation prolonged standing  Symptoms cosmetic, pain, ankle swelling, superficial thrombophlebitis, skin changes (thickening, pigmentation, ulceration and eczema)  Past history Similar complaints, during pregnancy  Family history Similar complaints

EXAMINATION  INSPECTION  VISIBLE VEINS (SITE, SIZE AND EXTENT, EFFECT OF ELEVATION  PALPATION  SKIN (, OEDEMA, THICKENING AND TENDERNESS)  AUSCULTATION (Properly exposed, standing and supine position, both in front and behind)

TREATMENT  conservative  surgery

SCLEROTHERAPY

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