Surgery 136 Varicose Veins Case Presentation History Taking format viva questions clinical treat

0:00 Introduction to Varicose Veins
0:40 Definition of varicose veins
1:20 HISTORY taking
2.55 presentation - eczema, dermatitis, lipodermasclerosis, ulcer
3:20 Gaiter areas
4:42 Causes primary secondary, Klippel trenaunay syndrome
6:02 General Physical Examination
7:45 Local Examination
8:05 Inspection - Morrisey Test cough and observe Saphena varix, phlegmasia
11:20 Palpation - lipodermasclerosis
I. Brodie Trendelenburg test
II. Three tourniquets test (or) multiple tourniquets test
III. Perthes test
IV. Modified Perthes test: DVT
V. Pratt’s test:
VI. Fegan’s test:
VII. Schwartz test:
VIII. Morrissey’s cough impulse:
14:14 SFJ location, Anatomy of Veins, Deep, Superficial etc
16:51 Perforators
20:07 Percussion
20:15 Auscultation - Check for bruit along the dilated veins in the leg.
20:20 Check for LN, Other limb, Arterial pulsations, abdomen
20:52 Systemic Examination
21:22 SUMMARY
23:18 Diagnosis
24:22 Complications of Varicose Veins
25:11 CEAP Classification Of Varicose Veins
28:12 Investigations - Venous Doppler, DUPLEX, Mickey mouse sign,
29:35 TREATMENT - conservative, compression socks, sclerotherapy, ablation, Ulcer - Bisgaard’s regimen
31:52 TREATMENT - surgery - Trendelenburg Trendelenberg Operation
35:25 Complications of Surgery
35:35 Tumescence anesthesia
36:00 Stripping vein tools


test operation long great short small saphenous vein femoral junction SFJ SPJ
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