Varicose veins physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical examination

• Physical exam is often the basis of diagnosis for varicose veins.
• Physical examination of the patients with varicose veins is usually remarkable for dilated, tortuous, worm-like veins more than or equal to 3mm in diameter in thigh or/and legs.
• Varicose veins often occur in the lower limb.

Appearance of the Patient

• Patients with varicose veins usually appear normal but can be obese.

Vital Signs

• Vital signs of a patients with varicose veins are stable.

Skin

• Skin examination of patients with varicose veins is might be remarkable for localized edema, discoloration or ulceration in the area involved( usually along the medial ankle.
• Subcutaneous varicose veins can be palpated as often visible, soft, dilated, and compressible.

HEENT

• HEENT examination of patients with varicose veins is usually normal.

Neck

• Neck examination of patients with varicose veins is usually normal.

Lungs

• Pulmonary examination of patients with varicose veins is usually normal.

Heart

• Cardiovascular examination of patients with varicose veins is usually normal.

Abdomen

• Abdominal examination of patients with varicose veins is usually normal.

Back

• Back examination of patients with varicose veins is usually normal.

Genitourinary

• Genitourinary examination of patients with varicose veins is usually normal.

Neuromuscular

• Neuromuscular examination of patients with varicose veins is usually normal

Extremities

• Extremities are common locations for varicose veins development and in the presence of varicose veins, dilated, compressible veins can be palpated especially along the medial ankle. These can be associated with skin discoloration, edema, ulceration, etc.

Special tests

• Brodie-Trendelenburg test-used to test the incompetence of perforators.