Of The Dermis. A Tortuous Or Looped Appearance Is A Sign Of A Pathology - Fscaresystems Viridex Rf Bedienungsanleitung

MANUEL
RF

stasis

fibrosis.
The hypertrophy of the adipose lobules clearly disrupts the venous and lymphatic return,
resulting in a pressure increase in the venous sector.
When it affects exclusively or mainly the legs, it is commonly referred to by the inadequate
term of lipoedema. Diagnosis of lipoedema is based on:

a rather light flexible edema

its bilateral character

absence of Stemmer's sign

Chardonneau's sign (appearance of an internal retromalleolar adipose groove when
the skin is pinched)

characteristic of cellulitic infiltration in the ankle.
Finding a drainage venule
The physical examination must be meticulous and patient.
For varices, mainly in orthostatism then palpation for a sensation of elastic cutaneous
resistance. Starting with the course of the saphenous veins running vertically and then
horizontally for the other superficial veins.
For the venules by inspection in decubit. Examine in the centripetal direction of the venous
flow (foot - thigh) from different angles, with different lighting if possible, drawing and smoothing
the skin with both hands.
Transillumination has become almost indispensable for dealing with these feeder veins.
It uses a cold light source and fibre optic cable. The end of the fibre comes into direct contact
with the skin. The light passing through the skin is reflected by the fascia superficialis (deep
dermis) and the veins appear as Chinese shadows. It can show the veins located on the
deep side of the dermis. A tortuous or looped appearance is a sign of a pathology.
Date 27/03/2014
THERMOCOAGULATION – Viridex
Page 29 de 49 N° de révision : 05