Assessment of venous circulation in lower limb

 

Assessment of venous circulation in lower limb

Ask patient to stand up

Inspection

  • Site of visible veins
  • Shape of visible veins
  • Size of visible veins
  • Effect of elevation
  • Effect of dependency
  • Ankle swelling
  • Ankle ulcer
  • Skin color

Palpation

  • Trunk of long saphenous vein
  • Trunk of short saphenous vein
  • Saphenofemoral junction
  • Saphenopopliteal junction
  • Fascial defects
  • Venous ulcer
  • Texture of skin and subcutaneous tissue

Percussion

Percussion wave conduction

Auscultation

Bruit over prominent varices
Tourniquet tests
Doppler ultrasound