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49 Cards in this Set
- Front
- Back
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May thurner syndrome |
Right iliac artery presses on left iliac vein --> left iliac vein thrombosis |
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Moses's sign |
DVT Squeeze the calf --> pain |
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Homan's sign |
DVT Flexion at knee, dorsiflexion of foot --> stiffness / resistance in calf |
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Phlegmasia cerulea dolens |
Painful blue limb Thrombosis of major Axial veins + collaterals |
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Phlegmasia alba dolens |
Painful white limb / milk leg Thrombosis of major Axial veins (no collaterals) |
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Modified Well's criteria |
To predict DVT -2 < 0 : 5% probability 1 < 2 : 17% >2 : 17 to 53% |
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Duplex scan |
Colour doppler + B mode USG IOC in DVT |
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ATTRACT trial |
Thrombolysis useful in patients with proximal DVT with moderate to severe symptoms |
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Greenfield filter |
Filter in IVC to prevent thrombi moving upwards |
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DVT complications |
Pulmonary embolism Post Thrombotic leg / syndrome |
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Page schrotter disease |
Primary upper limb DVT - Due to axillary vein thrombosis. Repeated arm movts, thoracic outlet obstruction etc. |
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Deep veins |
3 pairs Peroneal Anterior tibial Posterior tibial |
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Vein of Giacomini |
Cranial extension of SSV |
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Hunterian perforator |
At thigh |
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Dood perforator |
Above knee |
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Boyd perforator |
Below knee |
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Cockett perforators |
Above medial malleolus, 3 5,10,15 cm above MM |
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Sizes of dilated veins |
>3mm : varicose 1<3 : reticular <1 : thread veins / dermal flares |
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Corona phlebectacia |
Malleolar flar - early sign of advanced disease - fan shaped pattern of telangiectasia |
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Atrophie blanche |
Pale white area surrounded by dermal flares. Early sign of advanced disease |
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Inverted champagne bottle clinically |
Lipodermatosclerosis Early sign of advanced disease |
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CEAP |
Clinical Etiological Anatomical Pathophysiology |
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Mickey mouse sign on duplex |
CFA, GSV, FV - also seen in portal triad |
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Compressive stocking classes |
1 : 14-17 mmHg 2 : 18-24 3 : 25- 35 4 : > 35 |
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EVLT |
Endovenous laser therapy 1470 mmHg laser, 60J/cm heat - 2 types : forward and Lateral firing |
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SEPS |
Subfascial Endoscopic Perforator Surgery |
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GSV or SFJ incomp surgeries |
Trendelenburg (traditional) EVLT RFA |
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SSV or SPJ incomp surgeries |
Flush ligation of SPJ, no stripping EVLT RFA |
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Perforator incomp surgeries |
Dodd & cockett procedure SEPS EVLT RFA |
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Tributaries ligated in Trendelenburg |
Medial : superf ext pudendal, deep ext pudendal Distal : accessory ant saphenous, posterior medial thigh Lateral : superficial epigastric, superficial circumflex iliac |
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New modalities for varicose veins |
Endovenous glue therapy TRIVEX Foam sclerotherapy |
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Sclerosing agents |
Sodium tetradecyl sulphate Polydocanol Sodium morrhuate |
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Tessari technique |
1 part sclerosant and 3 or 4 parts air Method of foam creation |
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Bisgaard regimen |
• Education • Elevation of limb • Elastic compression stocking • Dressings • Surgery • Medical management : pentoxyphylline |
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Klippel Trenuay syndrome |
Mesodermal abnormality. - no deep veins Varicose veins here are managed conservatively |
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Parkes Weber syndrome |
Multiple AV fistulae --> high output failure --> limb hypertrophy |
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Fogarty's balloons |
For embolectomy Early Mx of acute arterial occlusion (w/in 6-8 hrs) |
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Leriche syndrome |
Aortoiliac obstruction Claudication of buttock, thighs, calves. Impotence in males |
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Chronic vs acute arterial occlusion |
Sensation intact Temperature equilibrium intact (In chronic) |
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Thrombangitis obliterans |
Buerger's disease |
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Corkscrew collaterals |
On angiography for buerger's |
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Best suprainguinal graft |
Dacron |
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Best infrainguinal graft |
Reverse saphenous vein graft Best synthetic one : PTFE |
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EVAR |
Endovascular aneurysm repair |
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Mattox procedure |
Left medial visceral rotation To visualize aorta for repair of aneurysm Descending colon mobilized medially |
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Cattle brasch maneuver |
Right medial visceral rotation In RCC pts with IVC metastasis Ascending colon mobilized medially |
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Kocherization |
Duodenum mobilisation |
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Artery of Adamkiewicz |
Supplies anterior spinal artery
Cause of paraparesis after abdominal aortic aneurysm surgery |
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Sunset foot sign |
Dependent rubor In chronic ischaemic limb when u let it hang down limb becomes red/purple |
