Vascular Disease- Venous
Terms
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- As valves become more incompetent and veins develop more reflux the venous pressure____________.
- Increases
- The gradient of high pressure to low pressure____________.
- Decreases
- Venous flow under higher pressure will go __________.
- Backward
- The worse the venous incompetence the ________ the venous pressure will be at the_______________.
-
Higher
Ankle - Over time an increase in venous pressure can cause...
- Edema, cramps, aches, resltess legs, skin breakdown and cellullitis.
- CEAP clinical classification 0 through 6. 0 isno signs of venous insufficiency and 6 is open venous ulceration. what are 1-5.
-
1. varicosities
2. varicose veins
3. edema
4. hyperpigmentation, dermatitis
5. healed venous ulceration - On exam the patient should stand to allow for what? You are looking for dilated and _________ veins.
-
The veins to fill
Tortuous - You must always compare both legs and be sure to __________ them for symmetry.
- Measure
- Klippel-Trenaunary Syndrom, please describe:
- venous malformations, increased limb length, prt wine stain and unilateral.
- Lipedema is characterized by:
- Bilateral
- Wagner wound scoring system is a 0 to 5 scale. 0 is pre-ulcer. 1-5 are?
-
1. superficial ulcer
2. full thickness ulcer
3. osteo
4. gangrene front foot
5. gagngrene mid and hind foot - What improves calf muscle pump function?
- Structured exercise
- Demographics of Limb Loss, describe:
-
50% amputees never walk again
50% alive 4 years after amp
50% amps done without angio or ABI to detect for arterial disease
It is less costly to preserve the limb than to amputate. - Neurotrophic ulcers are due to diabetic nerve damage and present...
- on the bottome of foot, callours present, painless, deep infection or osteo, discrete edge with health or pale base.
- _____% of diabetics get nerve damage._____% of neurotrophic ulcers that also have arterial disease.
- 50% and 25%