Summary
Summary Varicose Vein Examination
- Module
- Medicine in Practice 2
- Institution
- University Of Southampton (UOS)
This is a summary of how to examine a patient's varicose veins.
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Varicose Vein ExaminationGeneral inspection:
Expose the patient. You should ask to remove their trousers to perform a
lower limb examination. Also offer a chaperone.
Varicose veins usually follow the path of 2 major veins in the leg:
1. Long saphenous vein
2. Short saphenous vein
Lipodermatosclerosis – areas of brown/red/orange thickened skin cause by
fibrosis of the subcutaneous fat.
Saphena varix – dilation of the to of the long saphenous vein due to valvular
incompetence.
Venous eczema – caused by leakage of venous content which is irritant to
skin.
Venous flare – venous tortuosities around the malleolus.
Skin pigmentation – caused by haemosiderin deposition in the lower limbs.
Atrophie blanche – white scar tissue with dotted capillaries.
Odema
Venous ulcers
Palpation:
Feel for temperature disparity and tenderness (heat and tenderness are signs
of superficial thrombophlebitis).
Pitting odema.
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