Chronic disease and care
Understand reflux, assess the skin and tailor compression.
The interface is available in English. Medical content currently remains in French; English medical editions will be added after scientific review.
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LEARN AND EXPLORE
Pathologies veineuses & phlébologie interventionnelle
Choose an area to find its topics and related resources.
Open access
Interventional phlebology
2 topics and related resources
ExploreOpen access
Maladies veineuses & phlébologie
7 topics and related resources
ExploreRepères, parcours et ressources complémentaires
Thrombosis, venous insufficiency, varicose veins and interventional phlebology in one pathway.
Subsections
What to work on
- Explorer les maladies veineuses.
- Retrouver les techniques interventionnelles.
- Relier les thèmes aux explorations et aux sources.
All topics in this section
Related investigations
LEARNING PATHWAYS
From examination to treatment
9 courses · 70 added chapters · 9 clinical cases
Thrombosis and sequelae
Connect the clinical findings, ultrasound and risk to management.
Interventional phlebology
Select the target, understand the techniques and organise follow-up.
Expandable chapters, practical tables, original diagrams and fictional clinical cases with explanations. Course text is in French.
Clinical approach and commented situation
MICA · CLINICAL LEARNING
A cross-cutting clinical approach
A venous assessment distinguishes acute thrombosis, chronic reflux, post-thrombotic obstruction and oedema from other causes. Examination and duplex ultrasound are useful when they answer a clinical question and inform individual management.
01 · Separate emergencies from chronic disease
Recent swelling, particularly asymmetrical, new pain or a thromboembolic context requires assessment of clinical probability and the appropriate diagnostic pathway. Breathlessness, chest pain, syncope or instability can indicate pulmonary embolism and require urgent care. Longstanding varicose veins do not exclude recent thrombosis. Conversely, bilateral oedema should not automatically be attributed to venous insufficiency without considering other causes.
[1][2]02 · Connect symptoms to haemodynamics
Ask about previous thrombosis, worsening on standing, skin changes, ulcers and functional impact. Duplex ultrasound characterises reflux, obstruction and anatomy relevant to possible intervention. Isolated reflux on imaging does not establish the whole treatment indication. Deep vein thrombosis, Chronic venous insufficiency and Post-thrombotic syndrome cover different situations, with distinct goals and monitoring.
[2][3][1]03 · Choose a coherent strategy
Management combines explanation, appropriate mobility, skin care and, when indicated, compression after suitability assessment, including arterial assessment. Anticoagulation and reflux treatment address different mechanisms. Antithrombotic choice and duration depend on context, recurrence risk and bleeding. Endovenous ablation and sclerotherapy require anatomical selection, information and technical expertise.
[2][1][3]04 · Assess patient-relevant outcomes
Monitor pain, swelling, skin, healing and activity, alongside tolerability of devices and medicines. Recurrence, worsening wounds or bleeding requires reassessment of the cause and strategy. Education should specify symptoms requiring prompt review and how to obtain help. Correcting a venous abnormality does not necessarily explain all persistent symptoms.
[2][1][3]A learning situation
FICTIONAL SITUATION · WITHOUT A SCORE
Fictional situation: a woman with varicose veins develops new leg swelling and unusual breathlessness. She asks only for different compression stockings.
What is the clinical priority?
Read the reasoning
Immediately assess for thromboembolic disease and respiratory severity. Arrange appropriate urgent care rather than merely changing compression. A history of varicose veins cannot explain this new combination without assessment. Hand over symptom onset, risk factors and current medicines.
References and scope
- Venous thromboembolic diseases: diagnosis, management and thrombophilia testing — NG158 recommendations ↗
- ESVS · Maladie veineuse chronique des membres inférieurs, 2022 · texte intégral déposé par les auteurs · DOI 10.1016/j.ejvs.2021.12.024 ↗
- NICE CG168 · Varices : diagnostic et prise en charge, 2013 · recommandations officielles en vigueur consultées ↗
Original educational synthesis for adult internal medicine. Individual care depends on the clinical setting, applicable product information and local pathways. These notes are not an institutional protocol or a certification. Independent human scientific review remains to be confirmed.