Investigations for varicose veins Dr Joel Arudchelvam MBBS (COL), MD (SUR), MRCS (ENG)
•Download as PPT, PDF•
3 likes•1,152 views
This document discusses various investigations used to detect and assess venous insufficiency and plan interventions. Duplex ultrasound with Doppler is the preferred initial imaging method as it can identify the etiology, anatomy, and source of reflux to guide treatment planning. Other non-invasive options include plethysmography, CT venography, and MR venography. Invasive tests like phlebography and intravascular ultrasound may be used when deeper vein abnormalities are suspected. Duplex scanning is usually sufficient to evaluate and manage most varicose veins but other imaging can help in complex cases.
Report
Share
Report
Share
Recommended
Varicose veins ppt
This document summarizes chronic venous insufficiency (CVI), which occurs when veins cannot pump enough deoxygenated blood back to the heart. CVI mainly affects the legs and can cause varicose veins, spider veins, and reticular veins. The venous system includes deep, superficial, and perforating veins. The great and short saphenous veins are major superficial leg veins. CVI is caused by primary muscle pump failure, venous obstruction, or valvular incompetence. It can lead to complications like ulcers, pigmentation changes, and lipodermatosclerosis. Treatment includes conservative measures, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Sebaceous cyst dr mahesh 17-09-2020
A sebaceous cyst is a type of cystic swelling. Its common site is at the skin of the scrotum, scalp, back site etc. The treatment is excision
Management of varicose veins RRT
Made by Ranjith R Thampi. A surgery powerpoint I made during internship for Management of Varicose Veins. Tried to cover as much as possible on the topic. Kindly comment before you download. Thanks!
Pilonidal sinus
Pilonidal sinus is an infection of the skin and subcutaneous tissue near the upper part of the natal cleft. It is caused by hair penetrating and becoming trapped in the skin. Surgical excision is often required for chronic cases. Primary closure has faster healing but higher recurrence, while delayed closure has slower healing but lower recurrence. Off-midline primary closure has better outcomes than midline with respect to time to heal, infections, and recurrence rates. Lateral advancement flaps like Karydakis have shown slightly better results than Limberg flaps for off-midline closure. Antibiotics generally only have a role if cellulitis is present.
Varicose veins
Chronic venous insufficiency is a condition where the veins in the legs cannot pump enough blood back to the heart. It involves dilated, tortuous veins and valvular incompetence, mainly in the legs. Risk factors include age, gender, heredity, pregnancy, obesity, and prolonged standing or sitting. Symptoms include leg pain, swelling, skin changes like eczema or ulcers. Treatment options include compression therapy, sclerotherapy, and surgery to ligate or strip varicose veins.
Venous ulcer:A pedal misery!
Venous ulcer is one of the commonest complication of varicose veins. It may also occur in a condition called post phlebitic limb which is a sequelae to acute deep vein thronbosis. Hurry in surgical treatment of this condition before the ulcer heals could lead to a failure. Good conservative treatment for healing of the ulcer followed by surgical intervention gives the best results.
Dermoid cyst
Dermoid cysts are cysts lined with squamous epithelium that contain skin adnexa such as sweat glands, sebaceous glands, and hair follicles. There are several types of dermoid cysts including congenital dermoid cysts that form along embryonic fusion lines and can cause bony defects, implantation dermoid cysts that form after skin implantation injuries, and teratomatous dermoid cysts containing tissues from all germ layers. Dermoid cysts typically present as slow-growing, painless swellings and are diagnosed based on location and imaging findings showing cystic masses sometimes eroding adjacent bone. Excision is the treatment.
Varicose vein ppt (thu)
The document describes the venous drainage system of the lower extremity, including the long saphenous vein (LSV), short saphenous vein (SSV), deep veins, and perforating veins. It provides details on the anatomy and course of the LSV and SSV. Surgical procedures for varicose veins are discussed such as ligation and stripping, ligation of incompetent perforators, and newer minimally invasive techniques like foam sclerotherapy, endovenous laser ablation, and radiofrequency ablation. Post-operative care and potential complications are also summarized.
Recommended
Varicose veins ppt
This document summarizes chronic venous insufficiency (CVI), which occurs when veins cannot pump enough deoxygenated blood back to the heart. CVI mainly affects the legs and can cause varicose veins, spider veins, and reticular veins. The venous system includes deep, superficial, and perforating veins. The great and short saphenous veins are major superficial leg veins. CVI is caused by primary muscle pump failure, venous obstruction, or valvular incompetence. It can lead to complications like ulcers, pigmentation changes, and lipodermatosclerosis. Treatment includes conservative measures, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Sebaceous cyst dr mahesh 17-09-2020
A sebaceous cyst is a type of cystic swelling. Its common site is at the skin of the scrotum, scalp, back site etc. The treatment is excision
Management of varicose veins RRT
Made by Ranjith R Thampi. A surgery powerpoint I made during internship for Management of Varicose Veins. Tried to cover as much as possible on the topic. Kindly comment before you download. Thanks!
Pilonidal sinus
Pilonidal sinus is an infection of the skin and subcutaneous tissue near the upper part of the natal cleft. It is caused by hair penetrating and becoming trapped in the skin. Surgical excision is often required for chronic cases. Primary closure has faster healing but higher recurrence, while delayed closure has slower healing but lower recurrence. Off-midline primary closure has better outcomes than midline with respect to time to heal, infections, and recurrence rates. Lateral advancement flaps like Karydakis have shown slightly better results than Limberg flaps for off-midline closure. Antibiotics generally only have a role if cellulitis is present.
Varicose veins
Chronic venous insufficiency is a condition where the veins in the legs cannot pump enough blood back to the heart. It involves dilated, tortuous veins and valvular incompetence, mainly in the legs. Risk factors include age, gender, heredity, pregnancy, obesity, and prolonged standing or sitting. Symptoms include leg pain, swelling, skin changes like eczema or ulcers. Treatment options include compression therapy, sclerotherapy, and surgery to ligate or strip varicose veins.
Venous ulcer:A pedal misery!
Venous ulcer is one of the commonest complication of varicose veins. It may also occur in a condition called post phlebitic limb which is a sequelae to acute deep vein thronbosis. Hurry in surgical treatment of this condition before the ulcer heals could lead to a failure. Good conservative treatment for healing of the ulcer followed by surgical intervention gives the best results.
Dermoid cyst
Dermoid cysts are cysts lined with squamous epithelium that contain skin adnexa such as sweat glands, sebaceous glands, and hair follicles. There are several types of dermoid cysts including congenital dermoid cysts that form along embryonic fusion lines and can cause bony defects, implantation dermoid cysts that form after skin implantation injuries, and teratomatous dermoid cysts containing tissues from all germ layers. Dermoid cysts typically present as slow-growing, painless swellings and are diagnosed based on location and imaging findings showing cystic masses sometimes eroding adjacent bone. Excision is the treatment.
Varicose vein ppt (thu)
The document describes the venous drainage system of the lower extremity, including the long saphenous vein (LSV), short saphenous vein (SSV), deep veins, and perforating veins. It provides details on the anatomy and course of the LSV and SSV. Surgical procedures for varicose veins are discussed such as ligation and stripping, ligation of incompetent perforators, and newer minimally invasive techniques like foam sclerotherapy, endovenous laser ablation, and radiofrequency ablation. Post-operative care and potential complications are also summarized.
varicose veins
The document discusses varicose veins, which are distended and dilated veins caused by blood pooling in the legs. It describes the venous system and explains that varicose veins occur due to defects in valves that normally prevent backflow of blood. Symptoms include heaviness, pain, swelling, and skin discoloration or ulcers. Treatment options addressed are compression therapy, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Lipoma
Lipomas are benign soft tissue tumors composed of adipose tissue enclosed in a connective tissue capsule. They are the most common soft tissue tumor and typically present as localized, mobile, soft, non-tender lumps under the skin. Lipomas can occur anywhere on the body but are most common on the neck, back, and shoulders. While lipomas usually do not require treatment, surgical excision is recommended if they are painful, restrict movement, or grow very large in order to confirm benign histology. Surgical removal is typically via simple excision, which effectively cures most cases with few recurrences.
Varicose Vein
The document discusses varicose veins, including their anatomy, causes, symptoms, diagnosis, and treatment options. It describes the superficial and deep venous systems in the lower limbs and how perforator veins connect them. Incompetent valves in the perforating veins can allow reverse blood flow and cause varicose veins. Conservative treatments include compression stockings and sclerotherapy to occlude veins. Surgical options are vein stripping or ligation of incompetent veins and perforators. Newer minimally invasive treatments like endovenous laser ablation use laser energy to occlude veins.
Acute appendicitis
This document discusses the anatomy, clinical presentation, diagnosis, and treatment of acute appendicitis. It notes that the appendix is considered a vestigial organ but can be important in surgery. Acute appendicitis is commonly caused by obstruction of the lumen. Clinical features include pain shifting to the lower right abdomen, anorexia, nausea, and fever. Diagnosis involves blood tests, urine analysis, and imaging like ultrasound or CT scan. Treatment is typically open or laparoscopic appendicectomy. Complications can include perforation, infection, or abscess. Conservative treatment with antibiotics may be used for appendicular masses.
Modified radical mastectomy
A modified radical mastectomy removes the breast tissue, nipple, skin, and lymph nodes in levels I and II of the axilla, while the Patey modification also removes the pectoralis minor muscle to access level III lymph nodes; complications can include lymphedema if radiation is also used post-surgery or seromas which are usually drained with needles though drains placed during surgery help prevent them. The procedure involves dissecting the breast from the chest wall and axilla while preserving key nerves and blood vessels.
Varicose veins
examination of varicose veins are shown as video separately , others are mentioned in these slides in easy manner ,
Peripheral Vascular Diseases
The document discusses peripheral vascular diseases, which occur when blood flow to the peripheral vessels is reduced, potentially leading to ischemia and tissue damage. It describes the layers of arteries and veins, and compares arterial and venous disorders. Specific conditions covered include atherosclerosis, arterial insufficiency, venous insufficiency, thromboangitis obliterans (Buerger's disease), Raynaud's phenomenon, aneurysms, arterial embolism, and thrombophlebitis. Risk factors, clinical manifestations, diagnostic tests, and management approaches are discussed for each condition.
Lymphoedema
Lymphedema is abnormal swelling caused by accumulation of lymph fluid due to defective lymphatic drainage. It can be primary (congenital) or secondary (acquired after surgery, radiation, infection, etc). Symptoms include swelling, heaviness, pain and skin changes. Management involves skin care, manual lymph drainage, compression bandages and garments, exercise and rarely surgery.
varicose vein surgery
This document discusses varicose veins and their treatment options. It begins by describing the anatomy of varicose veins and their branches. It then discusses various surgical treatment options for varicose veins including stripping, endovenous laser therapy (EVLT), sclerotherapy, and hook phlebectomy. It provides details on the procedures, risks, post-operative care, and complications. In summary, it provides an overview of varicose vein anatomy and treatments through both invasive and non-invasive surgical procedures.
Varicose veins and management 1
This document provides information on varicose veins and their management. It discusses the anatomy of veins in the lower extremities, including superficial, deep and perforator veins. It describes the pathogenesis of varicose veins which involves valve incompetence and reflux of blood. Clinical features include pain, heaviness, cramps and complications like ulcers. Investigations include Doppler ultrasound, duplex scan and venography. Management involves conservative measures like compression stockings as well as invasive options like sclerotherapy and surgery. Sclerotherapy involves injecting sclerosing agents into veins to cause scarring and closure.
Non specific ulcers
This document provides an overview of various types of non-specific ulcers, including their causes, characteristics, and treatments. It discusses ulcers caused by trauma, arterial issues, venous issues, pressure, infection, tropical conditions, frostbite, hypertension, diabetes, mycobacteria, cancer, and more. For most ulcer types, it outlines key features like location, appearance, complications, investigations needed, and management approaches involving wound care, antibiotics, surgery, or other therapies.
Lipomas
This document discusses lipomas, which are benign soft tissue tumors composed of adipose tissue enclosed in connective tissue. It covers the epidemiology, causes, classification, clinical features, diagnosis, complications and treatment of lipomas. Lipomas most commonly occur in adults aged 40-60 and can be removed surgically, usually via simple excision, for cosmetic reasons or if the diagnosis is uncertain. While generally benign, liposarcomas can rarely develop with similar clinical features and require complete excision and histological examination.
Advances In Varicose Vein Treatment
Advances in treatment of varicose veins Lecture given to the students of Medical Career Institute in Ocean Township on Feb 3, 2010
Approach to the diagnosis of a breast lump
The document discusses the approach to diagnosing a breast lump. It outlines the triple assessment strategy which involves clinical examination, imaging, and tissue biopsy. This is currently the gold standard for diagnosis and can achieve nearly 100% diagnostic accuracy. The first step is confirming the presence of a discrete mass through physical examination. Next, imaging such as mammography or ultrasound is used to distinguish simple cysts from solid lesions. Tissue sampling of solid lesions through fine needle aspiration or core biopsy provides a histological diagnosis and guides management, which could include surgery for malignant masses or follow up for benign lesions.
Paget disease of the breast
paget disease of the nipple, breast cancer, central segmentectomy, breast conservative surgery, breast reconstruction.
Varicocele
This document discusses varicoceles, which are dilated and tortuous veins in the pampiniform plexus that commonly occur in the left testicle. Varicoceles are a common cause of male infertility and are often treated with varicocelectomy surgery to ligate the veins. The document describes the anatomy, causes, symptoms, grading, investigations, and surgical and non-surgical treatment options for varicoceles.
Hydatid cyst
Echinococcosis is caused by the tapeworm Echinococcus granulosus or E. multilocularis. It is transmitted between canine definitive hosts and sheep/cattle intermediate hosts. Humans are accidental dead-end hosts. Hydatid cysts develop most commonly in the liver and lungs. Symptoms vary depending on organ involved and cyst characteristics. Diagnosis involves serology, imaging like ultrasound and CT. Treatment options include medical therapy with antihelminthics, percutaneous drainage with scolicidal agents (PAIR), or surgery depending on cyst location and type. Complete removal of cysts and surrounding tissue is the goal to prevent recurrence.
Fistula in-ano
This document provides information on fistula-in-ano, including:
- It defines a fistula-in-ano as a track connecting the anal canal or rectum to the skin around the anus.
- It describes the anatomy of the anal canal and classifications of fistula types.
- Diagnosis involves physical exam, sometimes supplemented by imaging studies like MRI to better characterize complex fistulae.
- Treatment depends on the fistula type but may include fistulotomy, seton placement, or drainage of abscesses.
Pilonidal Disease
This presentation gives general overview about different aspects of PILONIDAL DISEASE including pathophysiology, etiology, clinical Presentation, different treatment options available etc
EXAMINATION OF SWELLING
The document provides guidance on examining a swelling through taking a thorough patient history and conducting a physical examination. The history should explore the duration, mode of onset, associated symptoms, pain characteristics, progression, location, fever, other lumps, secondary changes, function impairment, recurrence, weight loss, and medical history. The physical exam includes a general survey and local examination of the swelling's situation, color, shape, size, surface, edge, number, pulsation, movement, skin, and pressure effects. Taking a detailed history and examination can provide clues to the swelling's cause and diagnosis.
Ultrasound Assessment Of Chronic Venous Disease
This document summarizes how to perform an ultrasound scan to assess chronic venous disease in the lower limbs. It outlines the anatomy of the venous system, including the superficial and deep veins and perforating veins. It describes how to evaluate for reflux in the veins using Doppler ultrasound, and provides guidance on scanning the different areas of the lower limbs to investigate sources of reflux or varicose veins. The goal is to identify reflux or obstructions in the deep or superficial veins and perforating veins to determine the cause of chronic venous disease.
investigationsmanagementofvaricoseveins-180908203551.pdf
The document discusses various investigations and treatments for varicose veins. Key investigations include venous Doppler, duplex scan, and venography to evaluate the veins. Treatment options include elastic compression stockings, sclerotherapy injections to shrink small veins, foam sclerotherapy using ultrasound guidance, endovenous laser ablation (EVLA) using laser fibers, and radiofrequency ablation (RFA) using heated catheter to close veins. Surgery may be used for larger veins and involves making small incisions to ligate perforator veins in the calf connecting to deeper veins.
More Related Content
What's hot
varicose veins
The document discusses varicose veins, which are distended and dilated veins caused by blood pooling in the legs. It describes the venous system and explains that varicose veins occur due to defects in valves that normally prevent backflow of blood. Symptoms include heaviness, pain, swelling, and skin discoloration or ulcers. Treatment options addressed are compression therapy, sclerotherapy, and surgical procedures like vein stripping to remove damaged veins.
Lipoma
Lipomas are benign soft tissue tumors composed of adipose tissue enclosed in a connective tissue capsule. They are the most common soft tissue tumor and typically present as localized, mobile, soft, non-tender lumps under the skin. Lipomas can occur anywhere on the body but are most common on the neck, back, and shoulders. While lipomas usually do not require treatment, surgical excision is recommended if they are painful, restrict movement, or grow very large in order to confirm benign histology. Surgical removal is typically via simple excision, which effectively cures most cases with few recurrences.
Varicose Vein
The document discusses varicose veins, including their anatomy, causes, symptoms, diagnosis, and treatment options. It describes the superficial and deep venous systems in the lower limbs and how perforator veins connect them. Incompetent valves in the perforating veins can allow reverse blood flow and cause varicose veins. Conservative treatments include compression stockings and sclerotherapy to occlude veins. Surgical options are vein stripping or ligation of incompetent veins and perforators. Newer minimally invasive treatments like endovenous laser ablation use laser energy to occlude veins.
Acute appendicitis
This document discusses the anatomy, clinical presentation, diagnosis, and treatment of acute appendicitis. It notes that the appendix is considered a vestigial organ but can be important in surgery. Acute appendicitis is commonly caused by obstruction of the lumen. Clinical features include pain shifting to the lower right abdomen, anorexia, nausea, and fever. Diagnosis involves blood tests, urine analysis, and imaging like ultrasound or CT scan. Treatment is typically open or laparoscopic appendicectomy. Complications can include perforation, infection, or abscess. Conservative treatment with antibiotics may be used for appendicular masses.
Modified radical mastectomy
A modified radical mastectomy removes the breast tissue, nipple, skin, and lymph nodes in levels I and II of the axilla, while the Patey modification also removes the pectoralis minor muscle to access level III lymph nodes; complications can include lymphedema if radiation is also used post-surgery or seromas which are usually drained with needles though drains placed during surgery help prevent them. The procedure involves dissecting the breast from the chest wall and axilla while preserving key nerves and blood vessels.
Varicose veins
examination of varicose veins are shown as video separately , others are mentioned in these slides in easy manner ,
Peripheral Vascular Diseases
The document discusses peripheral vascular diseases, which occur when blood flow to the peripheral vessels is reduced, potentially leading to ischemia and tissue damage. It describes the layers of arteries and veins, and compares arterial and venous disorders. Specific conditions covered include atherosclerosis, arterial insufficiency, venous insufficiency, thromboangitis obliterans (Buerger's disease), Raynaud's phenomenon, aneurysms, arterial embolism, and thrombophlebitis. Risk factors, clinical manifestations, diagnostic tests, and management approaches are discussed for each condition.
Lymphoedema
Lymphedema is abnormal swelling caused by accumulation of lymph fluid due to defective lymphatic drainage. It can be primary (congenital) or secondary (acquired after surgery, radiation, infection, etc). Symptoms include swelling, heaviness, pain and skin changes. Management involves skin care, manual lymph drainage, compression bandages and garments, exercise and rarely surgery.
varicose vein surgery
This document discusses varicose veins and their treatment options. It begins by describing the anatomy of varicose veins and their branches. It then discusses various surgical treatment options for varicose veins including stripping, endovenous laser therapy (EVLT), sclerotherapy, and hook phlebectomy. It provides details on the procedures, risks, post-operative care, and complications. In summary, it provides an overview of varicose vein anatomy and treatments through both invasive and non-invasive surgical procedures.
Varicose veins and management 1
This document provides information on varicose veins and their management. It discusses the anatomy of veins in the lower extremities, including superficial, deep and perforator veins. It describes the pathogenesis of varicose veins which involves valve incompetence and reflux of blood. Clinical features include pain, heaviness, cramps and complications like ulcers. Investigations include Doppler ultrasound, duplex scan and venography. Management involves conservative measures like compression stockings as well as invasive options like sclerotherapy and surgery. Sclerotherapy involves injecting sclerosing agents into veins to cause scarring and closure.
Non specific ulcers
This document provides an overview of various types of non-specific ulcers, including their causes, characteristics, and treatments. It discusses ulcers caused by trauma, arterial issues, venous issues, pressure, infection, tropical conditions, frostbite, hypertension, diabetes, mycobacteria, cancer, and more. For most ulcer types, it outlines key features like location, appearance, complications, investigations needed, and management approaches involving wound care, antibiotics, surgery, or other therapies.
Lipomas
This document discusses lipomas, which are benign soft tissue tumors composed of adipose tissue enclosed in connective tissue. It covers the epidemiology, causes, classification, clinical features, diagnosis, complications and treatment of lipomas. Lipomas most commonly occur in adults aged 40-60 and can be removed surgically, usually via simple excision, for cosmetic reasons or if the diagnosis is uncertain. While generally benign, liposarcomas can rarely develop with similar clinical features and require complete excision and histological examination.
Advances In Varicose Vein Treatment
Advances in treatment of varicose veins Lecture given to the students of Medical Career Institute in Ocean Township on Feb 3, 2010
Approach to the diagnosis of a breast lump
The document discusses the approach to diagnosing a breast lump. It outlines the triple assessment strategy which involves clinical examination, imaging, and tissue biopsy. This is currently the gold standard for diagnosis and can achieve nearly 100% diagnostic accuracy. The first step is confirming the presence of a discrete mass through physical examination. Next, imaging such as mammography or ultrasound is used to distinguish simple cysts from solid lesions. Tissue sampling of solid lesions through fine needle aspiration or core biopsy provides a histological diagnosis and guides management, which could include surgery for malignant masses or follow up for benign lesions.
Paget disease of the breast
paget disease of the nipple, breast cancer, central segmentectomy, breast conservative surgery, breast reconstruction.
Varicocele
This document discusses varicoceles, which are dilated and tortuous veins in the pampiniform plexus that commonly occur in the left testicle. Varicoceles are a common cause of male infertility and are often treated with varicocelectomy surgery to ligate the veins. The document describes the anatomy, causes, symptoms, grading, investigations, and surgical and non-surgical treatment options for varicoceles.
Hydatid cyst
Echinococcosis is caused by the tapeworm Echinococcus granulosus or E. multilocularis. It is transmitted between canine definitive hosts and sheep/cattle intermediate hosts. Humans are accidental dead-end hosts. Hydatid cysts develop most commonly in the liver and lungs. Symptoms vary depending on organ involved and cyst characteristics. Diagnosis involves serology, imaging like ultrasound and CT. Treatment options include medical therapy with antihelminthics, percutaneous drainage with scolicidal agents (PAIR), or surgery depending on cyst location and type. Complete removal of cysts and surrounding tissue is the goal to prevent recurrence.
Fistula in-ano
This document provides information on fistula-in-ano, including:
- It defines a fistula-in-ano as a track connecting the anal canal or rectum to the skin around the anus.
- It describes the anatomy of the anal canal and classifications of fistula types.
- Diagnosis involves physical exam, sometimes supplemented by imaging studies like MRI to better characterize complex fistulae.
- Treatment depends on the fistula type but may include fistulotomy, seton placement, or drainage of abscesses.
Pilonidal Disease
This presentation gives general overview about different aspects of PILONIDAL DISEASE including pathophysiology, etiology, clinical Presentation, different treatment options available etc
EXAMINATION OF SWELLING
The document provides guidance on examining a swelling through taking a thorough patient history and conducting a physical examination. The history should explore the duration, mode of onset, associated symptoms, pain characteristics, progression, location, fever, other lumps, secondary changes, function impairment, recurrence, weight loss, and medical history. The physical exam includes a general survey and local examination of the swelling's situation, color, shape, size, surface, edge, number, pulsation, movement, skin, and pressure effects. Taking a detailed history and examination can provide clues to the swelling's cause and diagnosis.
What's hot (20)
Similar to Investigations for varicose veins Dr Joel Arudchelvam MBBS (COL), MD (SUR), MRCS (ENG)
Ultrasound Assessment Of Chronic Venous Disease
This document summarizes how to perform an ultrasound scan to assess chronic venous disease in the lower limbs. It outlines the anatomy of the venous system, including the superficial and deep veins and perforating veins. It describes how to evaluate for reflux in the veins using Doppler ultrasound, and provides guidance on scanning the different areas of the lower limbs to investigate sources of reflux or varicose veins. The goal is to identify reflux or obstructions in the deep or superficial veins and perforating veins to determine the cause of chronic venous disease.
investigationsmanagementofvaricoseveins-180908203551.pdf
The document discusses various investigations and treatments for varicose veins. Key investigations include venous Doppler, duplex scan, and venography to evaluate the veins. Treatment options include elastic compression stockings, sclerotherapy injections to shrink small veins, foam sclerotherapy using ultrasound guidance, endovenous laser ablation (EVLA) using laser fibers, and radiofrequency ablation (RFA) using heated catheter to close veins. Surgery may be used for larger veins and involves making small incisions to ligate perforator veins in the calf connecting to deeper veins.
Investigations & management of varicose veins
The document discusses various investigations and treatments for varicose veins. Key investigations include venous Doppler, duplex scan, and venography to evaluate the veins. Treatment options include elastic compression stockings, sclerotherapy injections to shrink small veins, foam sclerotherapy using ultrasound guidance, endovenous laser ablation (EVLA) using laser fibers, and radiofrequency ablation (RFA) using heated catheter to close veins. Surgery may involve ligating perforator veins in the calf. Non-invasive treatments are preferred initially, with surgery considered for recurrent ulcers or large symptomatic varicosities.
Chronic venous disease 2020
CHRONIC Venous Diseases
JOEL ARUDCHELVAM
MBBS (COL), MD (SUR), MRCS (ENG)
CONSULTANT VASCULAR AND TRANSPLANT SURGEON
Definition
Clinical Classification
Pathophysiology
Varicose veins
Venous anatomy
Examination of varicose veins
Investigations
Detection of reflux
Indications for treatment
Treatment Options
Deep Vein Thrombosis
Definition
Pulmonary embolism
Vte, identification and management of patients at risk
Venous thrombo-embolism (VTE) refers to deep vein thrombosis (DVT) and pulmonary embolism (PE) caused by blood clots. The document discusses risk factors for VTE, signs and symptoms, diagnostic tests including ultrasound and CT scans, and treatment including anticoagulation medications and thrombolytic therapy. It also provides guidelines for assessing VTE risk in patients and implementing preventative measures.
Detecting Deep Venous Disease with Duplex Ultrasound
By: Joseph Zygmunt, Jr., RVT, RPhS
Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.
upper limb veins pdf
This document discusses sonographic evaluation for diagnosing upper extremity deep venous thrombosis (UEDVT). It provides an overview of the risk factors and complications of UEDVT. Color Doppler sonography is outlined as the preferred noninvasive screening technique, with sensitivity of 78-100% and specificity of 82-100% for diagnosing UEDVT. The normal venous anatomy of the upper extremity is described and techniques for performing the sonographic examination are explained. Examples of sonographic appearances of acute and chronic UEDVT are illustrated and described.
Varicose Veins
This document provides a summary of varicose veins including:
- Incidence rates that are higher in women and industrialized countries
- Risk factors such as family history, pregnancy, prolonged standing, and obesity
- Presentation with dilated, tortuous veins and possible complications like eczema or ulcers
- Examination techniques including looking for varicose veins while standing and using tests like cough impulse and Doppler ultrasound
- Treatment options ranging from compression stockings and sclerotherapy to surgical procedures like vein stripping
The peripheral veins
Grey scale Imaging – High frequency Transducers are used for most of peripheral veins (9 MHz). for iliac or inf venacava , transducer of 4-6 MHz are used. Superficial veins such as saphenous vein, calf veins need even higher frequency transducers ( 9-15 MHz).
Doppler Sonography – quantitative (duplex spectral) & qualitative (color Dopler) .
This combination of anatomic and physiologic information makes US-CD such a powerful tool in evaluation of vascular pathology.
Role of ultrasound nurse in critical care
Ultrasound has become a versatile modality for diagnosing and guiding treatment of critically ill patients. It is useful in resource-limited settings as it is non-invasive, economical, repeatable and can be done at the bedside. As an ultrasound nurse in critical care, key roles include using ultrasound to detect head injuries, monitor intracranial pressure, assess lung conditions and volume status, guide procedures like central line insertion, and enable early detection of issues that may otherwise require more invasive diagnostic tests.
ABDOMINAL AORTIC ANEURYSM- EPIGASTRIC LUMPS- Abdominal Lumps.pptx
This document provides an overview of abdominal aortic aneurysms (AAA). It discusses the causes of epigastric lumps, epidemiology, risk factors, etiology, natural history, clinical features, investigations, treatment, and complications of AAA. AAA is caused by degeneration of the arterial wall from atherosclerosis and loss of elastic tissue. Risk factors include smoking, age, family history, and connective tissue disorders. Larger aneurysm size increases the risk of rupture. Treatment options are open surgical repair or endovascular aneurysm repair (EVAR). Complications can be early such as bleeding, or late such as endoleaks. Ruptured AAA presents urgently with abdominal pain and hypotension.
lower extremity doppler ultrasound.pptx
This document discusses Doppler ultrasonography for evaluating the lower extremity arteries. It begins by stating that Doppler ultrasound is less commonly used for peripheral arterial disease than for deep vein thrombosis or varicose veins. Next, it explains that ultrasound can diagnose stenosis by visualizing plaques and analyzing Doppler waveforms. It concludes by outlining the scanning technique, starting at the groin and tracing the arteries down the leg.
9 vascular us
This document provides an overview of deep venous ultrasound for detecting deep vein thrombosis (DVT). It describes the indications, limitations, and standard ultrasound protocol for a focused exam. Key points include: DVT has a high incidence in the US and can lead to pulmonary embolism; ultrasound is a good diagnostic tool as it is non-invasive, portable, and low cost; the standard protocol focuses on assessing compressibility of the common femoral and popliteal veins; findings suggestive of DVT include non-compressibility, echogenic material within the vein, and decreased blood flow despite augmentation.
Testicular varicoceles
This document discusses testicular varicoceles, which are abnormal dilations of the veins within the pampiniform plexus that surrounds the testicles. Varicoceles are found in approximately 15% of men and can cause scrotal pain or swelling. Ultrasound is the most common imaging method used to diagnose varicoceles by identifying dilated veins in the pampiniform plexus that enlarge further with maneuvers like Valsalva. Treatment options include percutaneous embolization to occlude the spermatic vein by catheterization or surgical ligation of the vein through sub-inguinal, inguinal, or retroperitoneal approaches.
Vascular access
This document discusses different types of vascular access for hemodialysis, including arteriovenous fistulas, grafts, and catheters. It provides details on the anatomy of veins in the upper limbs that are used for access. Native fistulas have the highest patency rates and lowest infection risks compared to other options. Examination of vascular accesses involves inspection, palpation, and auscultation to evaluate for abnormalities. The conclusion recommends arteriovenous fistulas as the preferred long-term access due to lower complication rates.
Venous drainage of lower limb ppt
Made this ppt in my first year at medicine for a group project on VENOUS DRAINAGE OF LOWER LIMB .. hope it can be of some help to you ! good luck :)
6. radiologic imaging in ecmo #beach2019 (nieboer)
This workshop will outline the basic principles of extracorporeal life support made easy by key-experts in the field. During the course delegates will gain a good understanding of ECMO in the following areas: Theoretical concepts, basic physiology and pathophysiology, cardiac and respiratory support and monitoring, alarm settings and monitoring, role of cardiac ultrasound during ECMO, newest technologies, circuits and devices, practical hands-on sessions and simulations.
Varicose Veins - C/F, Investigations & Treatment
This topic comes under the category - Venous Diseases. It is very important for a 3rd year MBBS Student to know about Varicose Veins, which is one of the commonest diseases encountered among out-patients.
Aneurysms of upper and lower extremities + aneurysms
The document discusses aneurysms of the upper and lower extremity arteries. It defines an aneurysm as a permanent localized dilation of an artery with at least a 50% increase in diameter compared to normal. The most commonly affected vessel is the abdominal aorta. The document discusses the classification, presentation, diagnosis and treatment options for various types of peripheral artery aneurysms including femoral, popliteal, profunda femoris and persistent sciatic artery aneurysms. Treatment involves open or endovascular surgical repair depending on the location and size of the aneurysm.
Similar to Investigations for varicose veins Dr Joel Arudchelvam MBBS (COL), MD (SUR), MRCS (ENG) (20)
investigationsmanagementofvaricoseveins-180908203551.pdf
investigationsmanagementofvaricoseveins-180908203551.pdf
Vte, identification and management of patients at risk
Vte, identification and management of patients at risk
Detecting Deep Venous Disease with Duplex Ultrasound
Detecting Deep Venous Disease with Duplex Ultrasound
ABDOMINAL AORTIC ANEURYSM- EPIGASTRIC LUMPS- Abdominal Lumps.pptx
ABDOMINAL AORTIC ANEURYSM- EPIGASTRIC LUMPS- Abdominal Lumps.pptx
6. radiologic imaging in ecmo #beach2019 (nieboer)
6. radiologic imaging in ecmo #beach2019 (nieboer)
Aneurysms of upper and lower extremities + aneurysms
Aneurysms of upper and lower extremities + aneurysms
More from Joel Arudchelvam MBBS, MD, MRCS, FCSSL
Leaking Aneurysm Minimizing Mortality with open surgery Joel Arudchelvam SLS...
Leaking Aneurysm Minimizing Mortality with open surgery Joel Arudchelvam SLS...Joel Arudchelvam MBBS, MD, MRCS, FCSSL
Leaking Aneurysm Minimizing Mortality with open surgery Joel ArudchelvamTraumatic vascular injuries in the neck; principles of management Joel Arudch...
Traumatic vascular injuries in the neck; principles of management Joel Arudch...Joel Arudchelvam MBBS, MD, MRCS, FCSSL
Traumatic vascular injuries in the neck; principles of management Joel ArudchelvamComplex lower limb arterial injuries; definitive management Joel Arudchelvam ...
Complex lower limb arterial injuries; definitive management Joel Arudchelvam ...Joel Arudchelvam MBBS, MD, MRCS, FCSSL
Complex lower limb arterial injuries; definitive management Joel ArudchelvamNational Trauma Conference 2023.pptx
Vascular injuries in limbs are a significant problem in Sri Lanka, particularly among young males. Road traffic accidents and injuries from trap guns are major causes. There is often a delay in patients reaching care, resulting in increased risk of limb loss. Establishing dedicated trauma centers staffed by vascular surgeons could help minimize delays and improve outcomes. Currently limb salvage rates after repair are around 75-98% based on studies in Sri Lanka, but establishing dedicated trauma networks and protocols could help improve the situation for patients suffering vascular injuries.
wound bed preparation Joel Arudchelvam.pptx
The document discusses wound bed preparation for chronic wounds. It outlines the 4 stages of wound healing and local, regional, and systemic causes of non-healing ulcers. Key aspects of wound bed preparation include debridement to remove necrotic tissue and slough through methods like surgical, biological, autolytic, or enzymatic. Maintaining appropriate moisture, controlling infection, and addressing any underlying causes are also important for wound healing. The goal of wound bed preparation is to create an environment suitable for granulation and re-epithelialization.
neck vascular injuries sept 2023 Joel Arudchelvam.pptx
Principles of management of Neck vascular trauma
Pre Congress Workshop on
Vascular Trauma
September 2023
Joel Arudchelvam
Causes
Impalement
Signs of neck vascular injuries
Anatomy and neck zones
Management
Factors to consider
Preoperative imaging
Changing concepts
Ligation Vs Repair
Neurological status and carotid repair
Diabetic foot and foot care.pptx
Diabetic foot and Foot care
Dr Joel Arudchelvam
Definition
Prevalence
Teaching Hospital Anuradhapura [THA]
High risk foot
Neuropathy
Pathogenesis of neuropathy
Charcot foot
Testing for neuropathy
Local Ulcer care
Managing Venous Ulcers Pre-congress Workshop Wound Care in the Elderly Scie...
Managing Venous Ulcers Pre-congress Workshop Wound Care in the Elderly Scie...Joel Arudchelvam MBBS, MD, MRCS, FCSSL
Managing Venous Ulcers Pre-congress Workshop
Wound Care in the Elderly
Scientific Conference of the Sri Lankan Association of Geriatric Medicine
Dr Joel Arudchelvam
Chronic Venous Diseases
CEAP Classification
Chronic Venous Ulcer
Pathophysiology
Investigations
Venous Duplex Scan
Treatment
LASER - Light Amplification by Stimulated Emission of Radiation
Sclerotherapy
Multi layer compression dressing (strapping)
Compliance
Cost and problems
Methods of leg elevation
Aneurysm repair Open vs EVAR SLSVS.ppt
Annual Academic Conference
SLSVS 23
Joel Arudchelvam
MBBS, MD ( SUR ), MRCS (ENG), FCSSL
Consultant Vascular and Transplant Surgeon
Aortic aneurysms
Abnormal focal dilatation of a vessel of more than 50 % of its normal diameter
Abdominal aorta more than 3 cms (normal diameter - 2 cms)
Open AAA repair
Endo Vascular Aneurysm Repair (EVAR)
Arch de-branching
Sri Lankan Experience
15 Vascular and transplant units
Emergency AAA repair
Open TAA repair
Future directions
organ transplantation nurses Joel Arudchelvam.pptx
ORGAN
TRANSPLANTATION
Definition
Donor
Recipient
Graft
Organs usually transplanted
Tissues, cells usually transplanted
Types of organ donors
HISTORY OF TRASNPLANTATION
HISTORY OF TRANSPLANTATION IN SRI LANKA
Transplantation procedure
Live donor nephrectomy
Organ preservation
Renal transplantation
Donor
Post operative management
RECIPIENT – SURGERY
POST-OPERATIVE CARE
Cadaveric Transplantation
Organ ischemia
Immunological complications
Carotid artery injuries, Joel Arudchelvam, SLSC 2022.pptx
Carotid artery injuries, Joel Arudchelvam, SLSC 2022, Carotid artery injuries
Causes
Hard signs of vascular injury
Associated signs
Anatomy and neck zones
Management
Factors to consider
Preoperative imaging
Management – changing concepts
Vascular surgical intervention
Open surgery
Certificate in Teaching in Higher Education (CTHE) Joel Arudchelvam.pptx
Certificate in Teaching in Higher Education (CTHE) Joel Arudchelvam.pptxJoel Arudchelvam MBBS, MD, MRCS, FCSSL
Certificate in Teaching in Higher Education (CTHE) 2022
Post ward round discussion in medical student teaching results in better understanding
Joel Arudchelvam
Advantages of ward round teaching
Problems related to the wards
The responses from the students
Future plans
Post_Renal_Transplantation_lymphocele, Joel Arudchelvamceles.pptx
Post_Renal_Transplantation_lymphocele, Joel Arudchelvamceles.pptxJoel Arudchelvam MBBS, MD, MRCS, FCSSL
Post Renal Transplantation Lymphoceles
JOEL ARUDCHELVAM
Perirenal fluid collections
Source of lymph
Risk factors
CLINICAL FEATURES
MANAGEMENT
organ transplantation faculty Joel Arudchelvam
Joel Arudchelvam
Definition
Donor types
HISTORY OF TRASNPLANTATION in Sri Lanka
Transplantation procedure
Organ preservation
BASIC COMPONENTS OF PRESERVATION SOLUTIONS
Kidney transplantation - Challenges and Experiences, SLMA Solid Organ transp...
Kidney transplantation - Challenges and Experiences, SLMA Solid Organ transp...Joel Arudchelvam MBBS, MD, MRCS, FCSSL
135TH ANNIVERSARY INTERNATIONAL MEDICAL CONGRESS 2022
30th September 2022
At BMICH, Colombo.
Symposium on
Solid Organ transplantation
Kidney transplantation - Challenges and
Experiences
Kidney transplantation
Causes for chronic kidney dise
Chronic Kidney Disease of unkn
Paediatric kidney transplant
Teaching Hospital Anuradhapura
The university transplant unit
Live donor nephrectomy
Organ preservation
Iliac vessel mobilisation
Renal vessels ananstomosis
Ureter anastomois
Surgical aspects
user experience
Relationship of live donors (T
Area of residence of donors
Live Donor profile
Donor vascular variations
Vascular reconstruction
Jaffna oration 2022.pdf
Jaffna Medical association
Annual Scientific Sessions September, 2022
Professor C.Sivagnanasundaram memorial oration
Introduction
Vascular injuries are potentially life or limb threatening. Vascular trauma occurs in 1.6% of civilian injuries (1) and 6.8% to 10.8% in war related injuries (Afghanistan, Iraq and Lebanon war). In a study done at the National hospital of Sri Lanka Colombo (NHSL) out of 5802 trauma admissions there were 93 patients with vascular injuries (VI). Therefore the incidence of VI in civilian trauma is 1.6% (1). After the end of civil war in Sri Lanka in 2009 there is a reduction in the number of war related vascular injuries. But due to the increase in the number of Road Traffic Accidents (RTA), the number of vascular trauma also increased (i.e. from 1938 to 2013 road traffic injuries increased from 35.1 to 98.6 per 100 000 population in Sri Lanka). One of the reasons for this is the increased number two and three wheeled vehicles which are involved more with accidents (2). Trauma and vascular injuries often involve young males. They are the breadwinners of the family. In one study done at the Teaching Hospital Anuradhapura (THA) among patients presenting with popliteal arterial injuries, 18 (90%) were males with a mean age of 38.7 years (2). And in another study done at the same institution among patients with major lower limb arterial injuries, 22 (87.5%) were males and the mean age was 36.9 years (3). These studies confirm the fact of young males often getting involved with vascular injuries.
VASCULAR TRAUMA CSSL 2021 .pptx
Vascular injuries occur
• Unexpected
• Young and fit
• Results in loss of limb or life
• Loss of earning capacity, economic
Our experience at Anuradhapura
Mean age - 36.9 years (17–69)
Arterial injury following trap gun - 25% amputation rate (Sriharan P, Arudchelvam JD, Marasinghe A. Outcome of major lower-limb arterial injuries presenting to a single unit in a peripheral setting in Sri Lanka. Indian J Vasc Endovasc Surg 2019;6:266-8
Causes - Road Traffic Accidents – 54.2%,Trap Gun – 33.3%,Iatrogenic - 8.33%,Other- 4.2% (Sriharan P, Arudchelvam JD, Marasinghe A. Outcome of major lower-limb arterial injuries presenting to a single unit in a peripheral setting in Sri Lanka. Indian J Vasc Endovasc Surg 2019;6:266-8)
Mechanism of injury
• Sharp / penetrating
• Blunt
“Vascular injury” is a nonspecific term. Because this is used to describe the injuries
to blood vessels in all parts of the body that includes neck vascular injuries, thoracic and
abdominal vascular injuries, and injuries to the blood vessels of the limbs. And in addition
vascular injury also describes injuries to the arteries and veins. Injuries to the blood vessels of
the limbs are called extremity vascular injury. This chapter will concentrate on the extremity
vascular injuries.
Vascular access Complications Surveillance / Troubleshooting
Vascular access Complications Surveillance / Troubleshooting. presented at the Sri Lanka Society of Nephrology (SLSON) Academic Sessions 2021
Personal Protective Equipment (PPE) gc fernando joel arudchelvam
Personal Protective Equipment (PPE) gc fernando joel arudchelvamJoel Arudchelvam MBBS, MD, MRCS, FCSSL
Personal protective equipment (PPE) includes items like gloves, face masks, goggles, and coveralls that are designed to protect the wearer from injury or infection. PPE has several key components, including N95 face masks, goggles, face shields, coveralls, aprons, head covers, and gloves. The proper process for donning PPE involves hand sanitization, putting on items in a specific order like coveralls, shoe covers, gloves, and a face mask to protect both the wearer and others from harm.கோவிட் காலத்தில் நீரிழிவு நோயாளர்களுடைய பாதப் பராமரிப்பு
கோவிட் காலத்தில் நீரிழிவு நோயாளர்களுடைய பாதப் பராமரிப்பு, ஜோயல் அருட்செல்வம்
,பாதங்களில் காயங்கள் ஏற்படுவதை எவ்வாறு தடுப்பது
More from Joel Arudchelvam MBBS, MD, MRCS, FCSSL (20)
Leaking Aneurysm Minimizing Mortality with open surgery Joel Arudchelvam SLS...
Leaking Aneurysm Minimizing Mortality with open surgery Joel Arudchelvam SLS...
Traumatic vascular injuries in the neck; principles of management Joel Arudch...
Traumatic vascular injuries in the neck; principles of management Joel Arudch...
Complex lower limb arterial injuries; definitive management Joel Arudchelvam ...
Complex lower limb arterial injuries; definitive management Joel Arudchelvam ...
neck vascular injuries sept 2023 Joel Arudchelvam.pptx
neck vascular injuries sept 2023 Joel Arudchelvam.pptx
Managing Venous Ulcers Pre-congress Workshop Wound Care in the Elderly Scie...
Managing Venous Ulcers Pre-congress Workshop Wound Care in the Elderly Scie...
organ transplantation nurses Joel Arudchelvam.pptx
organ transplantation nurses Joel Arudchelvam.pptx
Carotid artery injuries, Joel Arudchelvam, SLSC 2022.pptx
Carotid artery injuries, Joel Arudchelvam, SLSC 2022.pptx
Certificate in Teaching in Higher Education (CTHE) Joel Arudchelvam.pptx
Certificate in Teaching in Higher Education (CTHE) Joel Arudchelvam.pptx
Post_Renal_Transplantation_lymphocele, Joel Arudchelvamceles.pptx
Post_Renal_Transplantation_lymphocele, Joel Arudchelvamceles.pptx
Kidney transplantation - Challenges and Experiences, SLMA Solid Organ transp...
Kidney transplantation - Challenges and Experiences, SLMA Solid Organ transp...
Vascular access Complications Surveillance / Troubleshooting
Vascular access Complications Surveillance / Troubleshooting
Personal Protective Equipment (PPE) gc fernando joel arudchelvam
Personal Protective Equipment (PPE) gc fernando joel arudchelvam
கோவிட் காலத்தில் நீரிழிவு நோயாளர்களுடைய பாதப் பராமரிப்பு
கோவிட் காலத்தில் நீரிழிவு நோயாளர்களுடைய பாதப் பராமரிப்பு
Recently uploaded
DRAFT Ventilator Rapid Reference version 2.4.pdf
Ventilator rapid reference for the Zoll Z cvent. Presented for educational purposes only.
Hypertension and it's role of physiotherapy in it.
This particular slides consist of- what is hypertension,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is summary of hypertension -
Hypertension, also known as high blood pressure, is a serious medical condition that occurs when blood pressure in the body's arteries is consistently too high. Blood pressure is the force of blood pushing against the walls of blood vessels as the heart pumps it. Hypertension can increase the risk of heart disease, brain disease, kidney disease, and premature death.
Letter to MREC - application to conduct study
Application to conduct study on research title 'Awareness and knowledge of oral cancer and precancer among dental outpatient in Klinik Pergigian Merlimau, Melaka'
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
This edition features a handful of Innovative Minds: France's Most Impactful Healthcare Leaders that are leading us into a better future.
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
This edition features a handful of Champions of Health: Spotlight On Leaders Shaping Germany's Healthcare that are leading us into a better future.
2024 HIPAA Compliance Training Guide to the Compliance Officers
Join us for a comprehensive 90-minute lesson designed specifically for Compliance Officers and Practice/Business Managers. This 2024 HIPAA Training session will guide you through the critical steps needed to ensure your practice is fully prepared for upcoming audits. Key updates and significant changes under the Omnibus Rule will be covered, along with the latest applicable updates for 2024.
Key Areas Covered:
Texting and Email Communication: Understand the compliance requirements for electronic communication.
Encryption Standards: Learn what is necessary and what is overhyped.
Medical Messaging and Voice Data: Ensure secure handling of sensitive information.
IT Risk Factors: Identify and mitigate risks related to your IT infrastructure.
Why Attend:
Expert Instructor: Brian Tuttle, with over 20 years in Health IT and Compliance Consulting, brings invaluable experience and knowledge, including insights from over 1000 risk assessments and direct dealings with Office of Civil Rights HIPAA auditors.
Actionable Insights: Receive practical advice on preparing for audits and avoiding common mistakes.
Clarity on Compliance: Clear up misconceptions and understand the reality of HIPAA regulations.
Ensure your compliance strategy is up-to-date and effective. Enroll now and be prepared for the 2024 HIPAA audits.
Enroll Now to secure your spot in this crucial training session and ensure your HIPAA compliance is robust and audit-ready.
https://conferencepanel.com/conference/hipaa-training-for-the-compliance-officer-2024-updates
Pneumothorax and role of Physiotherapy in it.
This particular slides consist of- what is Pneumothorax,what are it's causes and it's effect on body, risk factors, symptoms,complications, diagnosis and role of physiotherapy in it.
This slide is very helpful for physiotherapy students and also for other medical and healthcare students.
Here is a summary of Pneumothorax:
Pneumothorax, also known as a collapsed lung, is a condition that occurs when air leaks into the space between the lung and chest wall. This air buildup puts pressure on the lung, preventing it from expanding fully when you breathe. A pneumothorax can cause a complete or partial collapse of the lung.
Top Rated Massage Center In Ajman Chandrima Spa
The best massage spa Ajman is Chandrima Spa Ajman, which was founded in 2023 and is exclusively for men 24 hours a day. As of right now, our parent firm has been providing massage services to over 50,000+ clients in Ajman for the past 10 years. It has about 8+ branches. This demonstrates that Chandrima Spa Ajman is among the most reasonably priced spas in Ajman and the ideal place to unwind and rejuvenate. We provide a wide range of Spa massage treatments, including Indian, Pakistani, Kerala, Malayali, and body-to-body massages. Numerous massage techniques are available, including deep tissue, Swedish, Thai, Russian, and hot stone massages. Our massage therapists produce genuinely unique treatments that generate a revitalized sense of inner serenely by fusing modern techniques, the cleanest natural substances, and traditional holistic therapists.
CANSA support - Caring for Cancer Patients' Caregivers
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
DR SHAMIN EABENSON - JOURNAL CLUB - NEEDLE STICK INJURY
JOURNAL CLUB - NEEDLE STICK INJURY - TOPIC PRESENTED BY DR SHAMIN
Professional Secrecy: Forensic Medicine Lecture
Professional Secrecy: Forensic Medicine Lecture , Medical jurisprudence
FACIAL NERVE
The facial nerve, also known as cranial nerve VII, is one of the 12 cranial nerves originating from the brain. It's a mixed nerve, meaning it contains both sensory and motor fibres, and it plays a crucial role in controlling various facial muscles, as well as conveying sensory information from the taste buds on the anterior two-thirds of the tongue.
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdf
The "Comprehensive Rainy Season Advisory: Safety and Preparedness Tips" offers essential guidance for navigating rainy weather conditions. It covers strategies for staying safe during storms, flood prevention measures, and advice on preparing for inclement weather. This advisory aims to ensure individuals are equipped with the knowledge and resources to handle the challenges of the rainy season effectively, emphasizing safety, preparedness, and resilience.
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...rightmanforbloodline
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest Version
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardson, Verified Chapters 1 - 18, Complete Newest VersionBath patient Fundamental of Nursing.pptx
This is presentation about how to bath a patient.
It is a fundamental of nursing.
Common Challenges in Dermatology Billing and How to Overcome.pptx
Discover the common challenges in dermatology billing and coding. Learn how expert assistance can help improve your practice's productivity.
CCSN_June_06 2024_jones. Cancer Rehabpptx
About this webinar: This talk will introduce what cancer rehabilitation is, where it fits into the cancer trajectory, and who can benefit from it. In addition, the current landscape of cancer rehabilitation in Canada will be discussed and the need for advocacy to increase access to this essential component of cancer care.
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx enhances healthcare by educating patients and ensuring effective medication management in a complex, evolving landscape.
Luxurious Spa In Ajman Chandrima Massage Center
Chandrima Spa Ajman is one of the leading Massage Center in Ajman, which is open 24 hours exclusively for men. Being one of the most affordable Spa in Ajman, we offer Body to Body massage, Kerala Massage, Malayali Massage, Indian Massage, Pakistani Massage Russian massage, Thai massage, Swedish massage, Hot Stone Massage, Deep Tissue Massage, and many more. Indulge in the ultimate massage experience and book your appointment today. We are confident that you will leave our Massage spa feeling refreshed, rejuvenated, and ready to take on the world.
Visit : https://massagespaajman.com/
Call : 052 987 1315
Recently uploaded (20)
Hypertension and it's role of physiotherapy in it.
Hypertension and it's role of physiotherapy in it.
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Innovative Minds France's Most Impactful Healthcare Leaders.pdf
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
Champions of Health Spotlight On Leaders Shaping Germany's Healthcare.pdf
2024 HIPAA Compliance Training Guide to the Compliance Officers
2024 HIPAA Compliance Training Guide to the Compliance Officers
CANSA support - Caring for Cancer Patients' Caregivers
CANSA support - Caring for Cancer Patients' Caregivers
DR SHAMIN EABENSON - JOURNAL CLUB - NEEDLE STICK INJURY
DR SHAMIN EABENSON - JOURNAL CLUB - NEEDLE STICK INJURY
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdf
Comprehensive Rainy Season Advisory: Safety and Preparedness Tips.pdf
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
TEST BANK For Accounting Information Systems, 3rd Edition by Vernon Richardso...
Common Challenges in Dermatology Billing and How to Overcome.pptx
Common Challenges in Dermatology Billing and How to Overcome.pptx
PrudentRx: A Resource for Patient Education and Engagement
PrudentRx: A Resource for Patient Education and Engagement
Investigations for varicose veins Dr Joel Arudchelvam MBBS (COL), MD (SUR), MRCS (ENG)
- 1. Dr Joel Arudchelvam MBBS (COL), MD (SUR), MRCS (ENG) ConsultantVascular andTransplant Surgeon
- 4. Investigations To detect the presence of venous insufficiency To find out the source To plan the intervention
- 5. Investigations Non invasive Duplex scan Plethysmograhy CT Venography MR Venography Invasive Phlebography Ambulatory venous pressure Intravascular ultrasound
- 6. Duplex Scan USS + Doppler (+ Colour (Colour Duplex) Preferred imaging Aetiology Anatomy / source To plan intervention High -frequency linear array transducer of 7.5–13 MHz
- 7. Patient Position • Above GSV – standing with foot rotated outwards weight taken on opposite leg • Below GSV and SSV – seated
- 8. Saphenous Vein • Surrounded by fascial layers • “Egyptian eye” sign
- 9. Saphenous Vein • Surrounded by fascial layers • “Egyptian eye” sign
- 10. Sapheno Femoral Junction SFJ CFA/ CFV/SFJ “Micky mouse” sign
- 11. Sapheno Femoral Junction SFJ CFA/ CFV/SFJ “Micky mouse” sign
- 12. Detection of reflux Flow augmented and released Provocative maneuvers Distal limb compression Rapid inflation deflation cuff
- 13. Detection of reflux Significant reflux Superficial vein - > 0.5 s Deep - > 1s
- 14. Detection of reflux Reflux Augmentation
- 15. Photo Pleythysmography Technique used to detect changes in the blood content of the dermis. Infrared light probe with sensor positioned on skin
- 16. Photo Pleythysmography Dorsiflex the foot four or five times. Changes in the amount of blood in the dermis is drawn Normal - venous refilling - > 20 seconds Venous refill time correlates with ambulatory venous pressure
- 17. Photo Pleythysmography Used to assess To confirm venous insufficiency in suspected of CVI. Severity of the reflux To monitor the response to intervention
- 18. CT / MR venography Give a detailed image of anatomy and abnormalities 3D reconstruction Useful when When deep venous abnormalities are suspected E.g. – DVT, iliac vein compression, AVF For congenital abnormalities To find rare sources of reflux E.g. –pelvic vein reflux
- 19. Summary When choosing an imaging According to need Most of the varicose veins can be assessed and managed with Duplex scanning
- 20. Thank You