Limb examination

Lower leg changes associated with venous hypertension and chronic venous insufficiency

  • Swelling of the limb – possibly pitting, due to increased apillary permeability.

Leg Ulcer 2

  •   Hyperpigmentation. This is a reddish brown discolouration of the skin, due to the deposition of haemosiderin in the skin.

Leg Ulcer 3

  •  Ankle flare. A fan shaped pattern of dilated veins around the medial or lateral aspects of the malleolus of foot; due to dilation of veins in these areas because of venous hypertension.

Leg Ulcer 4