General practice & prim · UKMLA & AKT
Varicose veins
A free high-yield preview for the UKMLA Applied Knowledge Test. Below are the key points to recognise varicose veins — the full SA Note notes add investigations, management, complications and 10 practice questions.
Key high-yield points
- Visible tortuous dilated veins - medial leg/thigh (GSV reflux) or posterolateral calf (SSV reflux)
- Dull aching/heaviness - worse after prolonged standing, better with leg elevation
- Ankle oedema, itching, night cramps
- Skin changes (advanced disease) - haemosiderin pigmentation, venous eczema, lipodermatosclerosis, venous ulceration at medial gaiter area
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