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Related Concept Videos

Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies01:20

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The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
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Varicose Veins II: Diagnostic Studies and Interprofessional Care01:26

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Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
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Palpation involves feeling the body to evaluate texture, size, consistency, and tenderness for assessing cardiovascular health. The following steps are organized in a head-to-toe order:
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
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Proper measurement of leg blood pressure is a critical skill for healthcare providers, ensuring precise and reliable readings. When performed correctly, this procedure informs patient care and enhances the efficacy of interventions. The following text outlines step-by-step guidelines to measure blood pressure in the leg, providing clarity and ease of understanding for practitioners.
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Pulse assessment sites are crucial in evaluating a patient's cardiovascular health. By assessing the pulsations of arteries at specific anatomical locations, healthcare professionals can gather valuable information about blood flow, heart rate, and peripheral circulation. Understanding these pulse assessment sites is essential for conducting comprehensive cardiovascular evaluations and monitoring patients' overall health. These sites are strategically chosen due to the accessibility and...
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Updated: Apr 23, 2026

Point-Of-Care Ultrasound Screening for Proximal Lower Extremity Deep Venous Thrombosis
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A Bedside Compression Test to Differentiate Pulsatile Varicose Veins.

Manabu Ida1, Takeshi Ueda1

  • 1Department of Emergency and General Medicine Rakuwakai Marutamachi Hospital Kyoto Japan.

Clinical Case Reports
|April 22, 2026
PubMed
Summary
This summary is machine-generated.

A bedside test revealed pulsatile varicose veins were linked to high systemic venous pressure. Compression of the femoral artery did not stop the pulse, but venous compression did, confirming the cause.

Keywords:
bedside compression testphysical examinationpulsatile varicose veinssystemic venous hypertension

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Area of Science:

  • Vascular Surgery
  • Cardiovascular Physiology

Background:

  • Pulsatile varicose veins are an uncommon presentation.
  • The underlying cause of venous pulsatility requires clear diagnostic criteria.

Purpose of the Study:

  • To investigate the cause of venous pulsatility in varicose veins using a simple bedside test.
  • To differentiate between arterial and venous causes of pulsatility in varicose veins.

Main Methods:

  • A bedside compression test was performed on a patient with pulsatile varicose veins.
  • Compression was applied sequentially to the femoral artery and then the femoral vein.

Main Results:

  • Venous pulsation in the varicose veins persisted when the femoral artery was compressed.
  • Venous pulsation disappeared when the femoral vein was compressed.

Conclusions:

  • The findings support that venous pulsatility in this case was secondary to systemic venous hypertension.
  • The bedside compression test effectively differentiated the cause of venous pulsatility.