Thrombophlebitis: The Daily PANCE Blueprint

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Thrombophlebitis: The Daily PANCE Blueprint

A 40-year-old woman presents to the clinic with a history of varicose veins. She complains of redness and tenderness over her right lower leg. She denies fever, leg swelling, or shortness of breath. Physical examination reveals a tender, erythematous cord along the medial aspect of her lower leg with warmth and firmness on palpation, consistent with superficial thrombophlebitis. Her peripheral pulses are intact, and there is no evidence of deep vein thrombosis. Which of the following veins is most likely involved in this patient?

A. Anterior tibial vein
B. Common femoral vein
C. Greater saphenous vein
D. Popliteal vein
E. Peroneal vein

Answer and topic summary

Correct Answer: C. Greater saphenous vein

Superficial thrombophlebitis commonly occurs in the superficial veins, most often in patients with varicose veins. The greater saphenous vein is the most frequently affected vein due to its location in the superficial system and its predisposition to varicosities. Superficial thrombophlebitis typically presents with pain, erythema, and a palpable cord along the course of the vein. It is important to differentiate this from deep vein thrombosis, which involves the deep veins and carries a higher risk for complications such as pulmonary embolism.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Cardiology ⇒ Vascular Disease ⇒ Phlebitis/thrombophlebitis

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