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July 13, 1940

A BASIC UNDERSTANDING OF VARICOSE VEINS

JAMA. 1940;115(2):97-100. doi:10.1001/jama.1940.02810280009003
Abstract

This article is being presented primarily for the benefit of the general practitioner in an attempt to clarify any confusion that may exist concerning the tests used in the examination of patients who have varicose veins. Any one who has perused the recent literature concerning varicose veins will verify the statement that the varied labeling of the classic Trendelenburg test is confusing and frequently contradictory. In one of the most widely read surgical publications, articles of two well known writers in this field appeared a year apart in which were stated absolutely opposite meanings of a "negative Trendelenburg." The simple test has been expanded to include such modifications as "positive," "double positive," "negative" and "nil." Add to this, as examples, Perthes' test, the tight bandage test, the comparative tourniquet tests and the Schwartz test. Is confusion not to be expected from such a situation? The practicing physician desires only to

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