ASSESSMENT OF PATIENTS WITH VARICOSE VEIN:

Methods of assessment of varicose vein are categorised into three levels.

1.      Level I

·         history and physical examination

·         hand held Doppler

2.      Level II

·         duplex scan

·         venous plethysmography

3.      Level III

·         ascending venography

·         descending venography

·         ambulatory venous pressure monitoring

·         CT/MR venography

·         Varicography ( for recurrent varicose vein)

Clinical examination:

Through clinical examination includes evaluation of GSV and LSV systems of lower limbs, abdominal viscera and pelvic anatomy. Identification of involved venous system, reflux/ incompetence at SFJ and/or SPJ and deep venous competence are mainstay of physical assessment.