- Both lower limb exposed & compare
- Supine & standing (for varicose veins)
- Look for varicose veins ( anterior & posterior)
- Document the venous system involved
- Calf or whole limb swelling (induration)
- Localized swelling and skin changes in superficial thrombophlebitis in the line of superficial vein
Features of chronic venous insufficiency (CVI): Oedema, leg induration, pigmentation, eczema, ulceration, skin thickness & redness- lipodermatosclerosis
Ulceration: Venous ulcers are located around medial lower 1/3rd of the leg (size, shape, margin and floor)