Venous Disease

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Elastic compression 100% of the stated pressure should be generated at the ankle level, 70% of the pressure should be generated at the upper calf, and only 40% of the initial pressure remains at the thigh level Stockings that are poorly fit may actually generate a reverse gradient, leading to a "tourniquet effect" CLASS PRESSURE (approximate) I 20-30mm Hg II 30-40mm Hg III 40-50mm Hg IV 50-60mm Hg INDICATIONS (suggested) Aching, swelling, telangiectasias, reticulars Symptomatic varicose veins, CVI, post-ulcer CVI, post- ulcer, lymphedema CVI, post-ulcer, lymphedema
Elastic compression Most patients will respond to a calf high stocking, since this is where we need to assist the pump. However, patients with painful varicose veins above the knee, or those with superficial thrombophlebitis above the knee will require a thigh high stocking.
Page 1 and 2: Venous Disease
Page 3 and 4: Venous System Primary collecting ve
Page 5 and 6: Histology
Page 7 and 8: The Venous Pump Large muscle groups
Page 9 and 10: Venous System The deep system is th
Page 11 and 12: Cockett Perforators In addition to
Page 13 and 14: CEAP Classification An attempt to a
Page 15 and 16: Etiologic E c - congenital disease
Page 17 and 18: Anatomic - Deep 1. Inferior vena ca
Page 19 and 20: Pathophysiologic Reflux - P R Obstr
Page 21 and 22: Venous Insufficiency Congenitally w
Page 23 and 24: Venous Insufficiency Superficial ve
Page 25 and 26: Perforator high-pressure failure of
Page 27 and 28: Symptoms Aching and heaviness of th
Page 29 and 30: Ulcers 1. Fibrin cuff theory - peri
Page 31 and 32: Photoplethysmography
Page 33 and 34: Treatment All patients with venous
Page 35 and 36: Treatment Raising the feet above th
Page 37 and 38: Compression Elastic compression sto
Page 39: Elastic compression The elastic in
Page 43 and 44: Inelastic compression More costly a
Page 45 and 46: Sclerosing Varicosities and telangi
Page 47 and 48: Surgery General appearance Aching p
Page 49 and 50: Surgery The object of excision of t
Page 51 and 52: Endovenous laser Successful endoven

Venous Disease

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