Signs & Symptoms

To be an excellent clinician one has to listen carefully, ask the right questions and perform a detailed physical examination.  A symptom is a phenomenon that is experienced by the individual affected by the disease. A sign is a phenomenon that can be detected by someone other than the individual affected by the disease. Below is a collection of short pieces on the various sign and symptoms that I see in the patients that come to me for help.

Venous InsufficiencyVenous Insufficiency and Varicose Veins

There is common misconception that if a patient does not have obvious varicose veins then they do not have significant venous disease.

Iliac Vein CompressionVenous Claudication

Venous claudication is one of the severe sequalae of lower extremity deep venous thrombosis (DVT).

Peripheral Arterial DiseaseClinical Evaluation of the Foot for Peripheral Arterial Disease

Peripheral arterial disease (PAD) and its more severe variant critical limb ischemia (CLI) can be notoriously difficult to diagnose.

Pelvic Venous IncompetencePelvic Venous Congestion: Needless Suffering

Pelvic congestion syndrome (PCS) is a condition that causes significant pain and discomfort for women.

ClaudicationExtertional Leg Pain

Leg pain when walking is common patient compliant. Evaluating patients for a cause is often a complex process.