varicose veins of the lower extremities – extraordinary widespread and unpleasant disease which clinical picture is very different and depend on a disease stage. If patients with the first stage of varicose veins are disturbed by fatigue at insignificant physical activities and a teleangioektaziya, then patients with the third and fourth stages of a disease are doomed to become disabled people. Considering it, it is very important to diagnose varicose veins at early stages of development when medicamentous therapy is still effective. It is possible to suspect varicose veins on a number of clinical signs: local expansions of veins, hypostases standing, fast fatigue, decrease in superficial sensitivity, trophic ulcers, etc. However at the first stages of a disease the clinical picture is erased and classical signs are a little useful.
Functional tests which can be carried out and at home without participation of the doctor are informative. Further I will several simplest and almost significant tests are listed.
The patient is given horizontal position then the assistant raises his leg and expects a zapustevaniye of veins. In the field of the top third of a hip impose the plait compressing superficial veins then surveyed rises, and the assistant watches a krovenapolneniye of veins. When filling veins more than 12 seconds their functional insufficiency is observed.
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Dvukhbintovy test differs in technical complexity and high informational content. At first empty hypodermic veins by imposing on the top third of a hip of a plait then the leg is bandaged elastichesky bandage from below up. The patient gets up, the assistant gradually removes bandage from top to down, however in parallel imposes counter bandage. Sites between bandage look round regarding vybukhayushchy venous knots, and if they these are are available, judge insolvency of veins.
[*] Mid-flight test when in a standing position on the top third of a hip impose a plait is known then the patient goes on the place. Walking promotes depletion of superficial veins from blood that usually occurs within one minute. In case of the pressing leg pains and expansion of venous trunks there is insolvency of a venous system.