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42Thematic Questions22 min read

Types and treatment of venous diseases

1. Big picture

Venous disease is common, but the surgical examiner mainly wants you to separate cosmetic/simple venous disease from limb-threatening or life-threatening venous disease.

The key venous surgery logic is:

1. Is this reflux, obstruction, thrombosis, or infection?
2. Is the deep venous system patent?
3. Is there risk of pulmonary embolism?
4. Is there chronic venous hypertension causing skin damage or ulcer?
5. Is treatment conservative, anticoagulant, endovascular, open surgery, or compression-based?

The most important exam groups are:

| Main group | Examples | | --------

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