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Examination of Varicose Veins
- introduction, permission, exposure (patient standing up)
Look
- compare shape
- observe front and back
- distribution of varicose veins
- skin changes in gaiter area
Feel
- temperature
- tenderness
- ankle
- saphenofemoral junction
- saphenopopliteal junction
Further tests
- Tap impulse transmitted downwards
- tourniquet
- lie flat
- elevate one leg
- apply tourniquet
- stand
- Trendelenburg test (only if tourniquet positive at upper 3rd leg)
- lie flat
- elevate leg
- 2 fingers at saphenofemoral junction
- stand
- Perthes test
- drain leg veins, tourniquet
- patient to stand on tip-toe 10x
- listen
"I would like to...
- examine abdomen
- do a rectal examination
- (in females) do a pelvic examination
- (in males) examine external genitalia
Completion
- lie patient down
- cover legs
- present findings
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