Term
| Vascular incompetence etiology/pathogenesis |
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Definition
Results in venous insufficiency
Overstretching of valves & cusps can no longer meet
Backflow results in engorgement of involved veins
Frequently seen in: obesity, pregnancy, & occupations requiring standing for long periods |
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Term
| Vascular incompetence clinical manifestations |
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Definition
Feelings of heaviness, tension, pruritis
Edema
Stasis dermatitis
Ulcer formation (chronic) |
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Term
| Vascular incompetence treatment |
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Definition
Walking
Quit smoking
Drugs that interfere w/ platelet aggregation |
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Term
| Varicose veins etiology/pathogenesis |
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Definition
Develop when return flow is blocked; valvular incompetence of superficial veins
Varicosities develop - Superficial, darkened, raised, tortuous
Increase abdominal pressure
Congenital venous conditions
Prolonged standing
lifting |
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Term
| Varicose veins clinical manifestations |
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Definition
Body image
Aching, heavy discomfort |
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Term
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Definition
Prevention: Support/TED hose, elevate legs when possible, don't cross knees or ankles, exercise! (walking, swimming)
Surgery: Sclerotherapy, vein stripping, vein ligation |
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Term
| Chronic venous insufficiency etiology/pathogenesis |
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Definition
Valvular incompetence involving deep veins
Pressure elevated for long periods/deep veins affected
Previous DVT is a risk factor |
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Term
| Chronic venous insufficiency clinical manifestations |
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Definition
Venous stasis ulcers develop as superficial veins rupture
Brown skin pigmentation
Warm to touch
Edema
Aching/cramping |
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Term
| Chronic venous insufficiency treatment |
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Definition
Treatment same as for varicose veins
Treatment in ulcers is difficult: infection is a risk, compression |
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Term
| Deep Vein Thrombosis (DVT) etiology/pathogenesis |
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Definition
Immobile patient (airplane)
Surgery
Clot in vein
Stasis of blood in extremity: immobility, impaired heart function
Increased blood viscosity: dehydration
Increased coagulation: surgery, trauma, oral contraceptives, disorders of coagualtion |
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Term
| DVT clinical manifestations |
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Definition
| Related to inflammatory process: redness, pain, fever, malaise, edema |
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Term
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Definition
Prevent dislodging/traveling
Pulmonary emboli are a major complication! |
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