Diagnosis of Varicose veins
Diagnostic Test list for Varicose veins:
The list of medical tests
mentioned in various sources as
used in the diagnosis of Varicose veins
includes:
Varicose veins Diagnosis: Book Excerpts
Tests and diagnosis discussion for Varicose veins:
Besides a physical examination, your doctor can take x-rays or
ultrasound pictures of the vein to assess the cause and severity of the
problem. You may want to speak with a doctor who specializes in vein
diseases (phlebology). (Source: excerpt from VARICOSE VEINS AND SPIDER VEINS: NWHIC)
Diagnostic Tests for Varicose veins: Online Medical Books
16 MEDICAL BOOKS ONLINE!
Review excerpts from medical books online, free, without registration,
for more information about diagnostis of Varicose veins.
VARICOSE VEINS:
DIAGNOSTIC WORKUP
(Algorithmic Diagnosis of Symptoms and Signs)
Obviously, a liver profile will be important. Chest x-rays and a flat plate of the abdomen should be routine. When these fail to identify a lesion--and even when they do identify a lesion--it is often necessary to get a CT scan of the thorax or abdomen. Exploratory surgery may be necessary to establish a tissue diagnosis, as biopsy may be dangerous.
» READ BOOK EXCERPT ONLINE »
Source: Algorithmic Diagnosis of Symptoms and Signs, 2003
Jugular Venous Distension:
Differential Diagnosis
(In a Page: Signs and Symptoms)
-
Congestive heart failure
-
Constrictive pericarditis
-
Cardiac tamponade
-
Superior vena cava syndrome
-
Tricuspid regurgitation
-
Heart block (most often complete heart block)
-
Atrial fibrillation
-
Right ventricular infarction
-
Tricuspid stenosis
-
Right ventricular dilation
-
Hypervolemia
Workup and Diagnosis
- History and physical examination
–Best to evaluate the right internal jugular vein
–Best seen in tangential light from foot of bed
–Venous pulsation can be obliterated with compression,
but arterial pulsation cannot
–Right atrium lies 5 cm below the sternal angle (reference
point)
–Normal central venous pressure ≤8–9 cm
–Hepatojugular reflex is a helpful adjunct in patients with
normal central venous pressure suspected of having right heart failure
-
ECG may reveal atrial fibrillation, ventricular tachycardia, right ventricular infarction, heart block, or other pathology
-
Chest X-ray may reveal signs of congestive heart failure or cardiomegaly
-
Echocardiogram is helpful to evaluate for valvular disease, myxomas, and right ventricular dysfunction
-
Additional diagnostic testing depends on the suspected pathology
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Skin, mottled:
History and physical examination
(Handbook of Signs & Symptoms (Third Edition))
Mottled skin may indicate an emergency condition requiring rapid evaluation and intervention. (See Mottled skin: Knowing what to do.) However, if the patient isn’t in distress, obtain a history. Ask if the mottling began suddenly or gradually. What precipitated it? How long has he had it? Does anything make it go away? Does the patient have other symptoms, such as pain, numbness, or tingling in an extremity? If so, do they disappear with temperature changes?
Observe the patient’s skin color, and palpate his arms and legs for skin texture, swelling, and temperature differences between extremities. Check the capillary refill time. Also, palpate for the presence (or absence) of pulses and for their quality. Note breaks in the skin, muscle appearance, and hair distribution. Also, assess motor and sensory function.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Thrombophlebitis:
Diagnosis
(Professional Guide to Diseases (Eighth Edition))
Some patients may display signs of inflammation and, possibly, a positive Homans’ sign (pain on dorsiflexion of the foot) during physical examination; others are asymptomatic. Essential laboratory tests include:
❑ Duplex Doppler ultrasonography and impedance plethysmography make it possible to noninvasively examine the major veins (but not calf veins).
❑ Plethysmography shows decreased circulation distal to the affected area; this test is more sensitive than ultrasound in detecting DVT.
CONFIRMING DIAGNOSIS Phlebography, which shows filling defects and diverted blood flow, usually confirms the diagnosis.
Diagnosis must also rule out arterial occlusive disease, lymphangitis, cellulitis, and myositis.
Diagnosis of superficial thrombophlebitis is based on physical examination (redness and warmth over the affected area, palpable vein, and pain during palpation or compression).
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Skin, mottled:
History and physical examination
(Professional Guide to Signs & Symptoms (Fifth Edition))
Mottled skin may indicate an emergency condition requiring rapid evaluation and intervention. (See Mottled skin: Knowing what to do.) However, if the patient isn’t in distress, obtain a history. Ask if the mottling began suddenly or gradually. What precipitated it? How long has he had it? Does anything make it go away? Does the patient have other symptoms, such as pain, numbness, or tingling in an extremity? If so, do they disappear with temperature changes?
Observe the patient’s skin color, and palpate his arms and legs for skin texture, swelling, and temperature differences between extremities. Check capillary refill. Palpate for the presence (or absence) of pulses and for their quality. Note breaks in the skin, muscle appearance, and hair distribution. Assess motor and sensory function.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Thrombophlebitis:
Diagnosis
(Handbook of Diseases)
Some patients may display signs of inflammation and, possibly, a positive Homans’ sign (pain on dorsiflexion of the foot) during physical examination; others are asymptomatic. Consequently, essential laboratory tests include the following:
❑ Doppler ultrasonography is used to identify reduced blood flow to a specific area and any obstruction to venous flow, particularly in iliofemoral deep vein thrombophlebitis.
❑ Plethysmography shows decreased circulation distal to affected area; it’s more sensitive than ultrasound in detecting deep vein thrombophlebitis.
❑ Phlebography can show filling defects and diverted blood flow and usually confirms the diagnosis.
Diagnosis must rule out arterial occlusive disease, lymphangitis, cellulitis, and myositis.
Diagnosis of superficial thrombophlebitis is based on physical examination (redness and warmth over affected area, palpable vein, and pain during palpation or compression).
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Skin, mottled:
History
(Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series)
If the patient isn’t in distress, obtain his medical history. Ask if the mottling began suddenly or gradually. What precipitated it? How long has he had it? Does anything relieve it? Does he have other symptoms, such as pain, numbness, or tingling in an extremity? If so, do they disappear with temperature changes?
Physical examination
Observe the patient’s skin color, and palpate his arms and legs for skin texture, swelling, and temperature differences between extremities. Check capillary refill. Also, palpate for the presence (or absence) of pulses and for their quality. Note breaks in the skin, muscle appearance, and hair distribution. Assess motor and sensory function.
» READ BOOK EXCERPT ONLINE »
Source: Alarming Signs and Symptoms: Lippincott Manual of Nursing Practice Series, 2007
Skin, mottled:
History
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
Mottled skin may indicate an emergency condition requiring rapid evaluation and intervention. (See Mottled skin: Knowing what to do.) However, if the patient isn’t in distress, obtain a history. Ask if the mottling began suddenly or gradually. What precipitated it? How long has he had it? Does anything make it go away? Does the patient have other symptoms, such as pain, numbness, or tingling in an extremity? If so, do they disappear with temperature changes?
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Skin, mottled:
History and physical examination
(Nursing: Interpreting Signs and Symptoms)
Mottled skin may indicate an emergency condition requiring rapid evaluation and intervention. (See Mottled skin: Knowing what to do.) However, if the patient isn't in distress, obtain a history. Ask if the mottling began suddenly or gradually. What precipitated it? How long has he had it? Does anything make it better? Does anything make it worse? Does the patient have other symptoms, such as pain, numbness, or tingling in an extremity? If so, do they disappear with temperature changes?
Take the patient's vital signs. Observe the patient's skin color, and palpate his arms and legs for skin texture, swelling, and temperature differences between extremities. Check the capillary refill time. Also, palpate for the presence (or absence) of pulses and for their quality. Note breaks in the skin, muscle appearance, and hair distribution. Also, assess motor and sensory function.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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