American Board of Internal Medicine (ABIM) Certification Practice Exam

What is the appropriate treatment for nonextensive superficial venous thrombophlebitis?

1. Anticoagulation therapy

2. Analgesics and anti-inflammatory medications

3. Immediate surgical intervention

4. Long-term observation

The correct answer is: Analgesics and anti-inflammatory medications

In the case of nonextensive superficial venous thrombophlebitis, the appropriate treatment involves using analgesics and anti-inflammatory medications. This approach is effective for managing the pain and inflammation associated with the condition. Superficial venous thrombophlebitis typically presents with localized pain, tenderness, and redness along the affected vein. Often, the condition is self-limiting and resolves on its own. Using analgesics helps to alleviate discomfort, while anti-inflammatory medications can reduce swelling and the associated inflammatory response. This conservative management strategy is generally sufficient for cases that are not extensive and do not pose significant risks of complications. While anticoagulation therapy may be considered in cases involving deep venous thrombosis or in certain high-risk situations, it is not indicated for isolated superficial venous thrombophlebitis. Immediate surgical intervention is rarely necessary unless there are complications such as abscess formation or persistent symptoms that do not resolve with conservative treatment. Lastly, long-term observation alone without symptomatic treatment is not sufficient, as patients may experience ongoing discomfort. Therefore, the combination of analgesics and anti-inflammatory medications provides an effective and appropriate treatment for the symptom management of nonextensive superficial venous thrombophlebitis.