Inspect for Varicosities

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Ask the patient to stand, and inspect the lower extremities for varicosities. Look at the area of the proximal femoral ring, as well as in the distal portion of the legs. Varicose veins in these locations may not have been visible when the patient was lying down.

The patient in Figure 15-5 was a 37-year-old woman with severe right-sided heart failure. Notice the marked dilated and tortuous veins in the popliteal fossa. Also notice the increased pigmentation of the skin over the lower legs.

*A stroke is also known as a cerebrovascular accident.

Figure 15-3 Lymphedema.

Popliteal Vein Tortuous

Figure 15-4 Chronic venous insufficiency.

Figure 15-3 Lymphedema.

Figure 15-4 Chronic venous insufficiency.

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