Introduces self
0
1

Confirms name & age of patient
0
1

Explains & gains consent
0
1

Washes hands
0
1

Exposes patient fully and asks them to stand up if able
0
1

Asks if patient is in pain
0
1

General inspection around bed and patient: comfortable, amputations, pallor, walking aids, cigarettes, GTN spray.
0
1

Inspects for venous changes (particularly in gaiter's area) with patient standing (oedema, varicose veins, ulcers, stars, eczema, haemosiderin deposition, thromboplebitis, lipodermatosclerosis, scars)
0
1

Describes size/depth/edge/colour/discharge of any ulcers
0
1

Palpates the course of the short saphenous, feeling for hardness and tenderness. Tests for cough impulse at saphenopopliteal junction
0
1

Palpates the course of the long saphenous, feeling for hardness and tenderness. Tests for cough impulse at saphenofemoral junction
0
1

Performs tap test on any varicose veins and listens for venous bruit
0
1

Thanks patient and offers help to redress
0
1

Washes hands
0
1

Requests additional venous tests (Trendelenberg's/Tourniquet test, Perthes test, abdopelvic exam, duplex ultrasound, rectal examination)
0
1

Summarise appropriately with only key findings.
0
1

Offer appropriate differential diagnoses.
0
1

Patient global score
0
1
2
If the station asks you to take a brief history, it is important to ask questions about current symptoms of venous disease and assess its severity. Additionally, you could ask briefly about risk factors. 

Venous
  • Pain/heaviness/pruritus/swelling
  • Changes to the skin
  • Risk factors: prolonged standing, injury, pregnancy, immobility (for DVT)