PROGRAM OBJECTIVES
This activity is designed for physicians and allied health professionals. This course includes videos and questions from the 2015 Annual Meeting, Allied Health Symposium. Upon completion of this course, you will receive a customized CME certificate.
HARDWARE/SOFTWARE REQUIREMENTS
The system requirements are as follows: the quizzes need to be accessed via a web browser actively connected to the Internet.
DISCLOSURE POLICY
In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. Therefore, it Read moreis mandatory that both the program planning committee and speakers complete disclosure forms. Members of the program committee were required to disclose all financial relationships and speakers were required to disclose any financial relationship as it pertains to the content of the presentations. The ACCME defines a ‘commercial interest’ as “any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients”. It does not consider providers of clinical service directly to patients to be commercial interests. The ACCME considers “relevant” financial relationships as financial transactions (in any amount) that may create a conflict of interest and occur within the 12 months preceding the time that the individual is being asked to assume a role controlling content of the educational activity.
The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the session.
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In the supine position, both pressures in the left limb are circa 25% higher than in the right limb.
In erect position, pressure in the dorsal foot veins is higher than the contralateral limb.
Dorsal foot vein pressure of the left limb is a good parameter in identifying iliofemoral deep venous obstruction in this patient.
During walking, pressure in the common femoral vein of the left limb increases considerably.
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Ovarian vein reflux
Internal iliac vein reflux
Iliac vein compression
Iliac vein thrombosis
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10%
20%
30%
50%
80%
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Venous obstruction causes reduced response to vasodilators
Venous obstruction is associated with increased response to vasodilatation
Endothelial-dependent vasodilatation is normal limits in venous obstruction
Endothelial independent vasodilation is well preserved in patients with venous obstruction
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Angiogram
Venogram
Duplex ultrasound
CT
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Duplex ultrasonography
Intravascular ultrasound
Clinical examination
Air plethysmography
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A. Coumadin
B. Venoactive drug
C. Compression therapy
D. Iliac vein stenting
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A. Sclero-compression treatment
B. Endovenous thermal ablation
C. Crossectomy and stripping
D. Imaging of the iliocaval tract
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.25
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.75
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1.25
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2.0
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