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Venography (also called phlebography, ascending contrast phlebography, or contrast venography) is an invasive diagnostic test

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Venography usually is not performed in patients with kidney (renal) problems.

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Some alternatives to venography include ultrasound, CT venography, and magnetic resonance imaging (MRI) with contrast. These imaging modalities can provide detailed visualization of the veins without the need for invasive procedures like venography.

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Venography is primarily performed to diagnose deep vein thrombosis (a condition that can lead to pulmonary embolism ).

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Venography also can cause complications such as phlebitis, tissue damage, and the formation of deep vein thrombosis

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Findings include:

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Venography is an x-ray test that provides an image of the leg veins after a contrast dye is injected into a vein in the patient's foot.

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Deep vein thrombosis can be detected through venography and radionuclide venography, Doppler ultrasonography, and impedance plethysmography.

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Venography is not used often, however, because it is painful, expensive, exposes the patient to a fairly high dose of radiation, and can cause complications.

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Venous imaging refers to imaging techniques used to visualize veins in the body. This can include methods like Doppler ultrasound, venography, magnetic resonance venography (MRV), and computed tomography venography (CTV), which help in diagnosing venous disorders like deep vein thrombosis, varicose veins, and venous insufficiency.

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There are several names for venous radiography (aka X-ray, radiographs and roentgenograms). These include:

Venogram, venography, phlebogram, phlebography, angiogram, and angiography.

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also called venography, ascending contrast phlebography, or contrast phlebography

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Fasting or drinking only clear liquids is necessary for four hours before the test.

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Patients should drink large amounts of fluids to flush the remaining contrast solution from their bodies.

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During the procedure, the patient lies on a tilting x-ray table. The area where the catheter will be inserted will be shaved,

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Renal venography, where a contrast material (dye) is injected into the renal vein before x rays are taken, is one of the best ways to detect renal vein thrombosis.

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9-letter words

biography, epigraphy, geography, orography

10-letter words

autography, cacography, demography, holography, ideography, kymography, nomography, renography, serigraphy, sonography, telegraphy, tomography, topography, typography, venography, xerography, xylography

11-letter words

angiography, aortography, calligraphy, cartography, chirography, chorography, cosmography, discography, ethnography, filmography, flexography, hagiography, hydrography, iconography, lithography, mammography, mythography, orthography, paleography, petrography, phonography, photography, pictography, planography, pornography, radiography, reprography, scenography, stenography, stylography, uranography, videography

12-letter words

bibliography, biogeography, cardiography, choreography, chronography, cryptography, fluorography, lexicography, lymphography, oceanography, phlebography, physiography, polarography, scintigraphy, seismography, shadowgraphy, stereography, stratigraphy, thermography, zoogeography

13-letter words

arteriography, autobiography, metallography, oscillography, prosopography, spectrography

14-letter words

chromatography, cinematography, historiography, paleogeography, phytogeography, pseudepigraphy

15-letter words

antipornography, autoradiography, biostratigraphy, cholangiography, crystallography, encephalography, phototelegraphy, plethysmography, psychobiography, radioautography, radiotelegraphy, roentgenography, semipornography, telephotography, ultrasonography, xeroradiography

16-letter words

astrophotography, echocardiography, electromyography, lymphangiography, macrophotography, microphotography, microradiography, photolithography, photomicrography, rechromatography

17-letter words

angiocardiography, chromolithography, phonocardiography, photofluorography, stereophotography

18-letter words

electrooculography, electrophotography, spectroheliography

19-letter words

electrocardiography, electroretinography

22-letter words

electroencephalography

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Definition

Lower extremity venography is a test used to see the veins in the leg.

X-rays are a form of electromagnetic radiation like light, but of higher energy, so they can go through the body to form an image on film. Structures that are dense (such as bone) will appear white, air will be black, and other structures will be shades of gray.

Veins are not normally seen in an x-ray, so a special dye (called contrast) is used to highlight them.

Alternative Names

Phlebogram - leg; Venography - leg

How the test is performed

This test is done in a hospital. You will be asked to lie on an x-ray table. Local anesthetic is used, and you may ask for a sedative if you are anxious about the test.

The healthcare provider places a needle into a vein in the foot of the leg being looked at, so that an intravenous (IV) line can be inserted. The contrast dye flows through this line into the vein. A tourniquet may be placed on your leg so the dye flows into the deeper veins.

X-rays are taken as the dye flows through the leg.

The catheter is then withdrawn, and the puncture site is bandaged.

How to prepare for the test

You will wear hospital clothing during this procedure. You will be asked to sign a consent form for the procedure. Remove all jewelry from the area being imaged.

Tell the health care provider if you are pregnant, if you have allergies to any medication, which medications you are taking (including any herbal preparations), and if you have ever had any allergic reactionsto x-ray contrast material or iodine substance.

How the test will feel

The x-ray table is hard and cold, so you may want to ask for a blanket or pillow. You will feel a sharp poke when the intravenous catheter is inserted. As the dye is injected, you may experience a burning sensation.

There may be tenderness and bruising at the site of the injection after the test.

Why the test is performed

This test is used to identify and locate blood clots in the veins of the legs.

Normal Values

Free flow of the blood through the vein is normal.

What abnormal results mean

Abnormal results may be due to a blockage caused by blood clots, tumors, or inflammation.

What the risks are
  • Allergic reaction to the contrast dye
  • Kidney failure, especially in the elderly or persons with diabetes who take the medicines Glucophage or metformin
  • Worsening of a clot in the leg vein

There is low radiation exposure; however, most experts feel that the risk of most x-rays is smaller than other risks we take every day. Pregnant women and children are more sensitive to the risks of the x-ray.

Special considerations

Ultrasound is used more often than this test because it has fewer risks and side effects. MRI and CT scans may also be used to look at the veins in the leg.

References

Ginsberg J. Peripheral venous disease. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 81.

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Definition

This test uses ultrasound to examine the blood flow in the major arteries and veins in the arms and legs.

How the test is performed

The test is done in the ultrasound or radiology department or in a peripheral vascular lab.

To examine the veins:

A water-soluble gel is placed on a handheld device called a transducer, which directs the high-frequency sound waves to the artery or veins being tested.

To examine the arteries:

Blood pressurecuffs may be put around different parts of the body, including the thigh, calf, ankle, and different points along the arm. A paste is applied to the skin over the arteries being examined. Images are created as the transducer is moved over each area.

How to prepare for the test

You will need to remove clothing from the arm or leg being examined.

How the test will feel

There is little or no discomfort associated with this test.

Why the test is performed

This test is done as an alternative to arteriography and venography. It may help diagnose:

The test may also be used to evaluate injury to the arteries and to monitor arterial reconstruction and bypass grafts.

Normal Values

A normal result means the blood vessels show no signs of narrowing or closure, and the arteries have normal blood pressure.

What abnormal results mean

Abnormal results may be due to:

  • Blockage in an artery by a blood clot, piece of fat, or an air bubble
  • Blood clot in an artery or vein
  • Spastic arterial disease (arterial contractions brought on by cold or emotion)
  • Venous occlusion (closing of vein)

Additional conditions under which this test may be performed include:

What the risks are

There are no risks specifically associated with this procedure.

Special considerations

Cigarette smoking may alter the results of this test, because nicotine can cause the arteries in the extremities to constrict.

Quitting smoking significantly lowers the risk of problems with the heart and circulatory system. Most smoking-related deaths are caused by cardiovascular problems, not lung cancer.

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Definition

Renal vein thrombosis is a blood clot that develops in the vein that drains blood from the kidney.

Alternative Names

Clot in the renal vein; Occlusion - renal vein

Causes, incidence, and risk factors

Renal vein thrombosis is a fairly uncommon situation that may happen after trauma to the abdomen or back, or it may occur due to:

  • Scar formation
  • Stricture
  • Tumor

It may be associated with nephrotic syndrome.

In some children, it occurs after severe dehydration and is a more serious condition than in adults. Dehydration is the most common cause of renal vein thrombosis in infants.

SymptomsSigns and tests

An examination may not reveal the specific problem, but may indicate nephrotic syndrome or other causes of renal vein thrombosis.

Treatment

The treatment is focused on preventing new clot formations and reducing the risk of the clot traveling to other locations in the body (embolization).

You may get medications that prevent blood clotting (anticoagulants) to stop new clots from forming. Your doctor may recommend bedrest or limited activity for a brief period.

Expectations (prognosis)

Renal vein thrombosis usually gets better over time without permanently injuring the kidneys.

ComplicationsCalling your health care provider

Call your health care provider if you have symptoms of renal vein thrombosis.

If you have experienced renal vein thrombosis, call your health care provider if you develop decreased urine output, difficulty breathing, or other new symptoms.

Prevention

There is no specific prevention for renal vein thrombosis. Maintaining fluids in the body to avoid dehydration may help to reduce its risk.

References

Kanso AA, Hassan NMA, Badr KF. Microvascular and macrovascular diseases of the kidney. In: Brenner BM, ed. Brenner and Rector's The Kidney. 8th ed. Philadelphia, Pa; Saunders Elsevier; 2007: chap 32.

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1. Diagnosis

  • Ask patient for medical history
  • Physical examine (look for swelling, warmth and redness)
  • D-dimer test (reference: <250ng/mL)
  • Ultrasound
  • If ultrasound was inconclusive then venography
  • If venography isn't possible MRI

2. Treatment

Drug administration:

  • Unfractionated heparin
  • Low molecular weight heparin (enoxaparin/Lovenox, dalteparin/Fragmin, or tinzaparin/Innohep)
  • Fondaparinux (Arixtra)
Walking/movement

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Definition

A duplex ultrasound is a test to see how blood moves through your arteries and veins.

See also:

Alternative Names

Vascular ultrasound; Peripheral vascular ultrasound

How the test is performed

The test combines traditional ultrasound with Doppler ultrasonography. Regular ultrasound uses sound waves that bounce off blood vessels to create pictures. Doppler ultrasound records sound waves reflecting off moving objects, such as blood, to measure their speed and other aspects of how they flow.

There are different types of duplex ultrasound exams. Some include:

  • Arterial and venous duplex ultrasound of the abdomen examines blood vessels and blood flow in the abdominal area.
  • Carotid duplexultrasound looks at the carotid artery in the neck.
  • Duplex ultrasound of the extremities looks at the arms or legs.
  • Renal duplex ultrasound examines the kidneys and their blood vessels.

The test is done in the ultrasound or radiology department.

You may need to wear a medical gown. You will lie down on a table, and the ultrasound technician will spread a gel over the area being tested. The gel helps the sound waves get into your tissues.

A wand, called a transducer, is moved over the area being tested. This wand sends out the sound waves.

You need to stay still during the exam. You may be asked to lie in different body positions, or to take a deep breath and hold it.

A computer measures how the sound waves reflect back, and changes the sound waves into pictures. The Doppler creates a "swishing" sound, which is the sound of your blood moving through the arteries and veins.

Sometimes during a duplex ultrasound of the legs, the health care provider may calculate an ankle-brachial (ABI) index. You will need to wear blood pressure cuffs on your arms and legs for this test.

The ABI number is obtained by dividing the blood pressure in the ankle by the blood pressure in the arm. A value of 0.9 or greater is normal.

How to prepare for the test

Usually, there is no preparation for a duplex ultrasound.

If you are having an ultrasound of your stomach area, you may be asked not to eat or drink after midnight. Tell the person doing the ultrasound exam if you are taking any medicines, such as blood thinners, that might affect the results of the test.

How the test will feel

You may feel some pressure as the wand is moved over the body, but there is usually no discomfort.

Why the test is performed

Duplex ultrasound is a less invasive option to arteriography and venography. A duplex ultrasound can show how blood flows to many parts of the body. It can also tell the width of a blood vessel and reveal any blockages.

A duplex ultrasound can help diagnose the following conditions:

A renal duplex ultrasound can also be used after transplant surgery to see how well a new kidney is working.

Normal Values

A normal result is normal blood flow through the veins and arteries. There is normal blood pressure and no sign of a narrowing or blockage of a blood vessel.

What abnormal results mean

An abnormal result depends on the specific area being examined. An abnormal result may be due to a blood clot or plaque buildup in a blood vessel.

What the risks are

There are no risks.

Special considerations

Cigarette smoking may change the results of an ultrasound of the arms and legs, because nicotine can cause the arteries to shrink (constrict).

References

Marx J. Rosen's Emergency Medicine: Concepts and Clinical Practice. 6th ed. St. Louis, Mo: Mosby; 2006.

Grainger RC, Allison D, Adam, Dixon AK. Diagnostic Radiology: A Textbook of Medical Imaging. 4th ed. Orlando, Fl: Churchill Livingstone; 2001.

Reviewed By

Review Date: 05/23/2010

David C. Dugdale, III., MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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Definition

A renal venogram is a test to look at the veins in the kidney. It uses x-rays and a special dye (called contrast).

X-rays are a form of electromagnetic radiation like light, but of higher energy, so they can move through the body to form an image on film. Structures that are dense (such as bone) will appear white, air will be black, and other structures will be shades of gray.

Veins are not normally seen in an x-ray. That is why the special dye is needed. The dye highlights the veins so they show up better on x-rays.

See also: Renal arteriography

Alternative Names

Venogram - renal; Venography; Venogram - kidney

How the test is performed

This test is done in a hospital. You will lie on an x-ray table. Local anesthetic is used, and you may ask for a sedative if you are anxious about the test.

The health care provider places a needle into a vein in the groin and then inserts a flexible tube called a catheter. This tube is moved through the groin vein until it reaches the vein in the kidney. The contrast dye flows through this tube. X-rays are taken as the dye moves through the kidney veins.

This procedure is monitored by fluoroscopy, a type of x-ray that creates images on a TV screen.

Once the images are taken, the catheter is removed and a bandage is placed over the wound.

How to prepare for the test

You will be told to avoid food and drinks for about 8 hours before the test. Your doctor may tell you to stop taking aspirin or other blood thinners before the test. NEVER stop taking any medicine without talking to your doctor.

You will be asked to wear hospital clothing and to sign a consent form for the procedure. You will need to remove any jewelry from the area that is being studied.

Tell the health care provider if you:

  • Are pregnant
  • Have allergies to any medication, contrast dye, or iodine
  • Have a history of bleeding problems
How the test will feel

The x-ray table is hard and cold -- you may ask for a blanket or pillow. You may feel a sting when the anesthesia medicine is given and a burning feeling when the dye is injected. You may feel some pressure and discomfort as the catheter is positioned.

There may be tenderness and bruising at the site of the injection after the test.

Why the test is performed

The test is done to detect blood clot , tumors, and vein problems. The test may also be used to measure hormone levels produced by the kidney.

Normal Values

There should not be any clots or tumors in the kidney vein. The dye should flow quickly through the vein.

What abnormal results mean

Abnormal results may be due:

  • Blood clot that partially or completely blocks the vessel
  • Kidney tumor
  • Vein problem

See also: Renal vein thrombosis

What the risks are

Risks from this test may include:

  • Allegic reaction to the contrast dye
  • Bleeding
  • Blood clots
  • Injury to a vein

There is low-level radiation exposure. However, most experts feel that the risk of most x-rays is smaller than other risks we take every day. Pregnant women and children are more sensitive to the risks of the x-ray.

Special considerations

This test is rarely done. It has largely been replaced by CT scan and MRI.

References

Jackson JE, Allison DJ, Meaney J. Angiography: principles, techniques (including CRA and MRA) and complications. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 6.

Rankin S. Renal parenchymal disease, including renal failure, renovascular disease and transportation. In: Grainger RC, Allison D, Adam, Dixon AK, eds. Diagnostic Radiology: A Textbook of Medical Imaging. 5th ed. New York, NY: Churchill Livingstone; 2008:chap 39.

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Definition

Deep venous thrombosis is a condition in which a blood clot forms in a vein that is deep inside the body.

Alternative Names

DVT; Blood clot in the legs; Thromboembolism; Post-phlebitic syndrome; Post-thrombotic syndrome

Causes, incidence, and risk factors

Deep venous thrombosis (DVT) mainly affects the large veins in the lower leg and thigh. The clot can block blood flow and cause swelling and pain. When a clot breaks off and moves through the bloodstream, this is called an embolism. An embolism can get stuck in the brain, lungs, heart, or other area, leading to severe damage.

Blood clots may form when something slows or changes the flow of blood in the veins. Risk factors include:

  • After a pacemaker catheter has been passed through the vein in the groin
  • Bedrest
  • Cigarette smoking
  • Fractures in the pelvis or legs
  • Giving birth within the last 6 months
  • Heart failure
  • Medications such as estrogen and birth control pills
  • Obesity
  • Recent surgery (especially hip, knee, or female reproductive organ surgery)
  • Too many blood cells being made by the bone marrow (polycythemia vera), causing the blood to be thicker and slower than normal

You're also more likely to develop DVT if you have any of the following conditions:

  • Blood that is more likely to clot (hypercoagulability)
  • Cancer
  • Taking estrogens or birth control pills. This risk is even higher if you smoke.

DVTs are most common in adults over age 60, but can occur at any age.

Sitting for long periods when traveling can increase the risk of DVTs. This is most likely when one or more of the risk factors listed above are also present.

Symptoms
  • Changes in skin color (redness) in one leg
  • Increased warmth in one leg
  • Leg pain in one leg (it may hurt to place all of your weight on this leg when standing)
  • Leg tenderness in one leg
  • Skin that feels warm to the touch
  • Swelling(edema) of one leg
Signs and tests

Your health care provider will perform a physical exam. The exam may show a red, swollen, or tender leg.

The following tests may be done:

Blood tests may be done to check if there is increased chance of blood clotting (hypercoagulability). Such tests include:

  • Activated protein C resistance (checks for the Factor V Leiden mutation)
  • Antithrombin III levels
  • Genetic testing to look for mutations that make you more likely to develop blood clots, including the prothrombin G20210A mutation
  • Lupus anticoagulant or antiphospholipid antibodies
  • Protein C and protein S levels
  • Screening for disseminated intravascular coagulation (DIC)

This list is not all-inclusive.

Treatment

Your doctor will give you medicine to thin your blood (called an anticoagulant). This will keep more clots from forming or old ones from getting bigger. These drugs cannot dissolve existing clots.

Heparin is usually the first drug given.

  • If heparin is given through a vein (IV), you must stay in the hospital.
  • Newer forms of heparin can be given by injection once or twice a day. You may not need to stay in the hospital as long, or at all, if you are prescribed this newer form of heparin.

A drug called warfarin (Coumadin) will be started along with heparin. Warfarin is taken by mouth. It takes several days to fully work. Heparin is not stopped until the warfarin has been at the right dose for at least 24 hours. You will most likely take warfarin at least 3 months. Some people must take it for the rest of their lives, depending on their risk for another clot.

When you are taking warfarin, you may be more likely to bleed, even from activities you have always done.

Changing how you take your warfarin, taking other medicines, and eating certain foods all can change the way the warfarin works in your body. If this happens, you may be more likely to form a clot or have bleeding problems.

  • Take the medicine just the way your doctor prescribed it
  • Know what to do if you miss a dose
  • You will need to get blood tests often to make sure you are taking the right dose

You will be given pressure stocking prescribed by your doctor. They will improve blood flow in your legs, and reduce your risk for blood clots. It is important to wear these every day.

In rare cases, surgery may be needed if medicines do not work. Surgery may involve:

  • Placement of a filter in the body's largest vein to prevent blood clots from traveling to the lungs
  • Removal of a large blood clot from the vein or injection of clot-busting medicines
Expectations (prognosis)

Many DVTs disappear without a problem, but they can return. Some people may have long-term pain and swelling in the leg known as post-phlebitic syndrome. Wearing tight (compression) stockings during and after the DVT may help prevent this problem.

Blood clots in the thigh are more likely to break off and cause pulmonary embolism (PE) than blood clots in the lower leg or other parts of the body.

Complications

A blood clot can break free in the leg and travel to the lungs (pulmonary embolus) or anywhere else in the body, and can be life threatening. Rapid treatment of DVT helps prevent this problem.

Post-phlebitic syndrome refers to long-term swelling (edema) in the leg that had the deep vein thrombosis. Changes in skin color and pain can also be present. These symptoms may be noticed right away, or may not develop for one or more years afterward. This problem is called post-thrombotic syndrome.

Calling your health care provider

Call your health care provider if you have symptoms of DVT.

Go to the emergency room or call the local emergency number (such as 911) if you have DVT and you develop chest pain, difficulty breathing, coughing blood, fainting, loss of consciousness, or other severe symptoms.

Prevention

Wear the pressure stockings your doctor prescribed. They will improve blood flow in your legs and reduce your risk for blood clots.

Doctors may prescribe blood thinners to help prevent DVT in people at high risk, or those who are undergoing high-risk surgery.

Moving your legs often during long plane trips, car trips, and other situations in which you are sitting or lying down for long periods of time can also help prevent DVT. People at very high risk for blood clots may need heparin shots when they are on a flight that lasts longer than 4 hours.

Do not smoke. If you smoke, quit. Women who are taking estrogen must stop smoking. See: Smoking - tips on how to quit.

References

Geerts WH, Berggvist D, Pineo GF, et al. American College of Chest Physicians. Prevention of venous thromboembolism: American College of Chest Physicians Evidence-Based Clinical Practice Guidelines (8th Edition). Chest. 2008;133(6 Suppl):381S-453S.

Snow V, Qaseem A, Barry P, et al. Management of venous thromboembolism: a clinical practice guideline from the American College of Physicians and the American Academy of Family Physicians. Ann Intern Med. 2007;146(3):204-210.

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3-letter words

vee, veg, vet, vex

4-letter words

veal, veep, veer, vees, veil, vein, vela, veld, vena, vend, vent, vera, verb, vert, very, vest, veto, vets, vext

5-letter words

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7-letter words

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8-letter words

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9-letter words

vectorial, vectoring, veeringly, veganisms, vegetable, vegetably, vegetated, vegetates, vegetists, vehemence, vehicular, veinulets, velarized, velarizes, velodrome, velverets, velveteen, venations, vendettas, vendeuses, vendibles, veneerers, veneering, venenated, venenates, venerable, venerably, venerated, venerates, venerator, venetians, vengeance, venireman, veniremen, venograms, ventifact, ventilate, ventrally, ventricle, venturers, venturing, venturous, veracious, verandaed, verandahs, verapamil, veratrias, veratrine, veratrins, veratrums, verbalism, verbalist, verbalize, verbiages, verbicide, verbified, verbifies, verbosely, verbosity, verdantly, verderers, verderors, verdigris, verditers, verdurous, vergences, verglases, veridical, verifiers, verifying, veritable, veritably, veritates, verjuices, vermicide, vermiform, vermifuge, vermilion, verminous, vermouths, vernacles, vernalize, vernation, vernicles, veronicas, verrucose, versatile, versicles, versified, versifier, versifies, versional, vertebrae, vertebral, vertebras, verticals, verticils, vertigoes, vesicants, vesicated, vesicates, vesiculae, vesicular, vesperals, vestibule, vestigial, vestigium, vestments, vestryman, vestrymen, vesturing, vesuvians, vetchling, vetiverts, vexations, vexatious

10-letter words

vegetables, vegetarian, vegetating, vegetation, vegetative, vehemences, vehemently, velarizing, velleities, velocipede, velocities, velodromes, velveteens, velvetlike, venalities, veneerings, venenating, venerating, veneration, venerators, vengeances, vengefully, venialness, venography, venomously, venosities, ventifacts, ventilated, ventilates, ventilator, ventricles, ventricose, ventriculi, veracities, verandahed, verapamils, veratrines, verbalisms, verbalists, verbalized, verbalizer, verbalizes, verbicides, verbifying, verdancies, verifiable, vermicelli, vermicides, vermicular, vermifuges, vermilions, vermillion, vernacular, vernalized, vernalizes, vernations, vernissage, versicular, versifiers, versifying, vertebrate, vertically, vertigines, vesicating, vesiculate, vespertine, vespiaries, vestiaries, vestibular, vestibuled, vestibules, vestmental, vetchlings, veterinary

BONUS WORDS:

11-letter words

vectorially, vegetarians, vegetations, velocimeter, velocipedes, vendibility, venerations, venesection, ventilating, ventilation, ventilators, ventilatory, ventricular, ventriculus, ventriloquy, venturesome, venturously, veraciously, veratridine, verbalistic, verbalizers, verbalizing, verboseness, verbosities, verdigrises, veridically, verisimilar, vermicellis, vermiculate, vermiculite, vermillions, vernaculars, vernalizing, vernissages, versatilely, versatility, vertebrates, verticality, vertiginous, vesiculated, vesiculates, vestigially, vesuvianite, vexatiously, vexillology

12-letter words

vegetational, vegetatively, velarization, velocimeters, venerability, venesections, vengefulness, venialnesses, venipuncture, venographies, venomousness, ventilations, ventromedial, veratridines, veridicality, verification, vermiculated, vermiculites, vernacularly, verticalness, verticillate, vesicularity, vesiculating, vesiculation, vespertilian, vesuvianites, veterinarian, veterinaries, vexillologic

13-letter words

vegetarianism, velarizations, vendibilities, venerableness, venipunctures, ventriloquial, ventriloquies, ventriloquism, ventriloquist, ventriloquize, ventrolateral, venturesomely, venturousness, veraciousness, verbalization, verbigeration, verbosenesses, verifiability, verifications, verisimilarly, veritableness, vermiculation, vernacularism, vernalization, versatileness, versatilities, versification, verticalities, vertiginously, vesiculations, veterinarians, vexatiousness, vexillologies, vexillologist

14-letter words

vegetarianisms, vegetativeness, venerabilities, vengefulnesses, venomousnesses, ventriloquisms, ventriloquists, ventriloquized, ventriloquizes, verbalizations, verbigerations, veridicalities, verifiableness, verisimilitude, vermiculations, vernacularisms, vernalizations, versifications, verticalnesses, vesicularities, vexillological, vexillologists

15-letter words

venerablenesses, ventriloquially, ventriloquistic, ventriloquizing, venturesomeness, venturousnesses, veraciousnesses, verifiabilities, verisimilitudes, veritablenesses, versatilenesses, vexatiousnesses

16-letter words

vegetativenesses, verifiablenesses

17-letter words

venturesomenesses

18-letter words

verisimilitudinous

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