|
Freedraw
|
|
|
Venous Doppler Exam - mark on GSV/LSV
|
|
|
R - Reflux
|
C - No reflux
|
|
No visible signs of varicose disease (R)
|
No visible signs of varicose disease (L)
|
|
448.0 Telangiectasias (R)
|
448.0 Telangiectasias (L)
|
|
454.9 Varicose Veins (R)
|
454.9 Varicose Veins (L)
|
|
782.3 Edema (R)
|
782.3 Edema (L)
|
|
459.1 Skin Changes (R)
|
459.1 Skin Changes (L)
|
|
454.1 Skin Changes + healed ulcer (R)
|
454.1 Skin Changes + healed ulcer (L)
|
|
454.2 Skin Changes + active ulcer (R)
|
454.2 Skin Changes + active ulcer (L)
|
|
ASYMPTOMATIC (A) - (R)
|
ASYMPTOMATIC (A) - (L)
|
|
SYMPTOMATIC (S) - (R)
|
SYMPTOMATIC (A) - (L)
|
|
729.5 Aching (R)
|
729.5 Aching (L)
|
|
729.5 Heaviness (R)
|
729.5 Heaviness (L)
|
|
729.5 Burning (R)
|
729.5 Burning (L)
|
|
729.5 Throbbing (R)
|
729.5 Throbbing (L)
|
|
Night Cramps (R)
|
Night Cramps (L)
|
|
Restless Legs (R)
|
Restless Legs (L)
|
|
782.3 Edema (R)
|
782.3 Edema (L)
|
|
|
|
|
Photo Taken
|
Information Given
|
