Varicose veins 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.

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

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

• 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 examination of patients with varicose veins is usually normal.

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

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

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

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

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

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

• Neuromuscular examination of patients with varicose veins is usually normal

• Extremities are common locations for varicose veins development and in the presence of varicose veins^[1], dilated, compressible veins can be palpated especially along the medial ankle. These can be associated with skin discoloration, edema, ulceration, etc.

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

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