A phlebology visit is most often performed in conjunction with a venous ultrasound Doppler.
The doctor, after taking a detailed medical history, looks at the patient’s legs and examines them or if the patient has already had an ultrasound, only checks the ultrasound. Next the doctor qualifies the patient for the appropriate treatment of his vein conditions (state).
It is very important that there is always an ultrasound equipment in the phlebologist’s study, then even having already done the examination on paper the patient can “ put the head” of the ultrasound and check the result, see whether the vein is tortuous or not, what is its diameter, where it runs off,etc. Only then can the patient be qualified for the appropriate treatment. In the Phlebology Clinic we always use an ultrasound unit as part of the visit in order to properly qualify the patient.
Currently in Phlebology ,the genetic tendency to thrombosis is emphasized more and more often, so with risk factors or suggestive events (congenital thrombophilias) it is worth getting tested.
Indications for diagnosis of thrombophilia are among others:
- Thrombosis during pregnancy
- Thrombosis during the use of contraception or hormone replacement therapy
- Recurrent thrombosis
- Thrombosis of atypical location, arterial
- Thrombosis in a person with a family history of thrombosis
- Venous thrombosis for no apparent reason before the age of 50
- Miscarriage or stillbirth
- Heparin-induced thrombocytopenia
The most common types of genetic thrombosis or thrombophilia are:
- Factor V Leiden
- G20210A mutation in the prothrombin gene
- Heterozygous C protein deficiency
- Heterozygous S protein deficiency
- Heterozygous antithrombin deficiency
- Increased factor VIII activity
- There is often a combination of several factors.
The most common acquired thrombophilia is the antiphospfolipid syndrome.