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FACP. Colegio de médicos de Tarragona Nº 4305520 / fgcapriles@gmail.com

WORLD EMERGENCY MEDICINE SOCIETIES & RELATED

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lunes, 12 de agosto de 2019

Varicose Veins

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emDocs - August 12, 2019 - Authors: Rusnack F and He C
Edited by: Simon E., Koyfman A & Long B
"Key Points
  • Varicose veins are common in the elderly. Risk factors include obesity, pregnancy, bleeding dyscrasias, prolonged standing, immobility, and cigarette smoking.
  • Complications associated with varicose veins include bleeding, DVT/PE, SVT, and venous ulceration.
  • Bleeding may be managed with direct pressure, pressure dressings, topical TXA, a figure-of-eight suture, and vascular surgery consultation.
  • Varicose veins are associated with DVT: US evaluation is warranted.
  • US may be utilized to evaluate the extent of SVT; proximity to the deep venous system may dictate systemic anticoagulation.
  • Both SVT and venous ulceration require evaluation for cellulitis."