- Temperature: warm (DVT, infection)
- Tense and tender calf (DVT)
- Homan’s sign- stretching calf by foot dorsiflexion causes pain
- Pitting edema
- Skin thickening, redness
- Cord like superficial tender swelling (superficial thrombophlebitis)
Tapping the venous column
demonstrates pressure transmission to incompetent distal veins.
Coughing impulse at sapheno-femoral junction denotes incompetent valve
Trendelenburg test
- Patient’s leg elevated to drain venous blood.
- An elastic tourniquet applied at the sapheno-femoral junction
- The patient then stands with tourniquet in place.
- Rapid filling (<30 seconds) of the great saphenous system- perforator valve incompetent.
- No filling - perforators are competent
- Now release the tourniquet
- Filling of the great saphenous system from above- sapheno-femoral valve is also incompetent.
