Varicose Vein Examination

Wash Hands Introduce Patients Name Explain Procedure Consent Expose Legs fully Position Standing
Posterior/Lateral Calf / Short Saphenous Where does the short saphenous #ein enter the deep #enous circulation. Sapheno%Popliteal 0unction Why perform an a dominal examination. ) pel#ic1a dominal mass may compress iliac #eins2 increasing ac( pressure and therefore li(eliness of #aricose #eins3

Inspection
Ulceration Scars Colour changes ( ro!n around calf perforators" Lipodermatosclerosis Presence and location of #aricosities

Palpation
$roin lumps % clarify not lymph node &ap test % &ap distal #ein and feel o#er long saphenous % If thrill transmitted they are in continuity &emperature differences

Trendelenberg Test
Ele#ate legs !ith the pt supine 'il( the #eins )pply tourni*uet at le#el of high thigh Stand and o ser#e refilling rate % +ast refill indicates more distal #al#e incompetence ,epeat elo! (nee

Abdomen
Would li(e to do a full examination for masses

Close
&han( Patient Co#er Patient Wash Hands

Overall
U S '
What #ein !ould #aricosities in the follo!ing sites li(ely indicate. Medial mid Thigh / Long Saphenous Medial mid Calf / Long Saphenous or calf perforator