Inspection

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Dermatology

Clinical examination of the venous supply of limbs

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Expose the legs and ask the patient to stand. Look for veins which although collapsed when lying down, become visible on standing.

visible subcutaneous veins - if these are dilated and tortuous, they are varicose veins; note their size and course - record this on a drawing of the leg - and determine whether they are part of the long or short saphenous system.

venous stars - minute veins radiating from a single feeding vein

any difference in the size of each leg, especially at the ankle - look for signs of oedema

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Inspection

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