Category Archives: Vascular

Screening for cancer after unprovoked DVT

This BMJ article seemed in fact to be arguing against a bit of a strawman, in that the NICE guideline it disputed did not in fact say quite what they claimed it said. However, it did end up highlighting a … Continue reading

Posted in BMJ, Credits 2017, DVT, Research, Screening | Leave a comment

The role of compression stockings post-DVT

In my days as a junior doctor, when I was taught to use compression stockings for DVT treatment, I was taught that it was to help treat the existing DVT/reduce risk of DVT in the other leg. Whether this is … Continue reading

Posted in Credits 2016, DVT, Vascular | Leave a comment

Venous insufficiency

Leg elevation May be overrated as a treatment for aching legs – it tends to be uncomfortable and there’s no real evidence as to effectiveness. Worth trying in rest periods for patients who stand a lot and suffer from aching … Continue reading

Posted in Varicose veins, Vascular | Leave a comment

Compression bandaging for varicose veins?

The question: “Would compression bandaging be appropriate for X’s varicose veins?” My first thought was ‘No’, because I distantly remembered the latest NICE guidelines vetoing compression bandaging as an option for treatment. However, when I double-checked, this wasn’t exactly what … Continue reading

Posted in Credits 2015, DENs, Vascular | Leave a comment

Thrombophlebitis as a sign of DVT

I already knew (the hard way, having learned it as a result of a complaint some years back) that superficial thrombophlebitis can be a sign of DVT. However, I was surprised to read in this week’s BMJ the frequency with … Continue reading

Posted in BMJ, Credits 2015, Vascular | Leave a comment

Lymphoedema and chronic oedema

There is no clear-cut line between the two. The lymph system is the primary route of drainage from a limb, so drainage may be impaired if the lymph system is overloaded by excess fluid (such as in CCF), if the … Continue reading

Posted in Elderly Medicine, Vascular | Leave a comment

Varicose veins – NICE guidance

Compression stockings, which always sounded like such a nice harmless intervention to suggest in minor cases, are now no longer recommended as a first-line intervention unless other interventions are not suitable (pregnancy being a good example). First-line treatment, where treatment … Continue reading

Posted in Credits 2013, Vascular | Leave a comment