Varicose veins exam Flashcards

1
Q

What are the steps in a varicose veins examination?

A

Inspection

Special tests

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2
Q

What should you look for in the legs when inspecting?

A
Varicosities
Venous eczema
Oedema
Lipodermatosclerosis
Haemosiderin
Venous ulceration
Scars
Identify SFJ
Abdomen
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3
Q

What special tests should you do?

A
Cough test
Tap test
Trendelenburg test
Perthe's test
Doppler test
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4
Q

What is the cough test?

A

Put finger on SFJ and ask patient to cough

Palpate for thrills

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5
Q

What is the tap test?

A

Put finger on SFJ and put finger of other hand on varicosities in long saphenous vein distribution
Tap on SFJ and if incompetent will feel transmitted percussion wave in varicosities further down leg

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