Varicose veins

Date Published: 
Wednesday, November 27, 2019
Duration: 
22:50

Dr Sam Dunn discusses varicose veins - vanity or a medical necessity? Sam has completed the diploma of Procedural Phlebology and is the medical director of Palm Clinic in Auckland.

 

Topics:

  • Definition and pathophysiology refresher
  • How do patients present
  • Clinical examinations
  • Self help that works
  • When to refer
  • Investigation in the community
  • Conservative management
  • Recurance rates
  • Post treatment instructions
  • Potential complications
  • Spider veins

   

Take home messages

  • Common symptoms: heavy, achy, tired legs.
  • Less common symptoms: restless legs, cramps at night, pruritus or edema.
  • Relief from elevation or compression is very telling of a venous cause.
  • Symptoms don’t always corolate with signs
  • Ultrasound scan can detect that incompetence that may not be outwardly visible.
  • Gold standard treatment is Radiofrequency ablation (RFA) or endovenous laser ablation (EVLT).
  • Surgery is not the treatment of choice.

 

Resources

Presenter

Dr Sam Dunn
Vein Physician

To contact sam Click here.

 

 

 

Recognition of Learning Activities

Complete and submit the learning reflection form for CPD/MOPS points provided by The Royal New Zealand College of General Practitioners below for recognition of learning activities.

Learning Reflection Form

www.rnzcgp.org.nz