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6.2b venous (varicose vein (great sphenous vein) level of incompetence…
6.2b venous
varicose vein (great sphenous vein) level of incompetence
(dilated veins on abdomen: Harvey's test)
(IVC obstruction: abdominal, per rectal, per vaginal)
ABPI: >0.8 v compression
Doppler ultrasound
groin lymph nodes
Gaiter's area
edema
lipodermatosclerosis
eczema
others
ankle flare, ankle blowouts
saphena varix at SFJ
scars
acute/chronic varicose vein
dilated tortuous varicosity
extent
consistent with the great saphenous vein
Tourniquet test/Trendelenberg test
above
sapheno-femoral junction
below
communicating veins
above, below
abdomen
v cross pubic
iliac vein obstruction
x cross pubic
IVC obstruction
palpation
varicose vein
tender
fascial defects
SFJ, SPJ
cough impulse (Cruveilhier's sign)
dermatosclerosis
hard
tender
red
standing underwear
general
bedside
Gaiter's area
venous ulcer
site: number, shape size
depth
shallow without underlying tissue exposed
discharge
seropurulent
base
(colour) v granulomatous tissue
edge
(colour) sloping
skin
Perthes test
tourniquet, tiptoe
venous hypertension
auscultation
leg on shoulder
x collapse: AV fistula (continuous murmur)