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Bulging veins Assessment Questionnaire

Questions Your Doctor May Ask - and Why!

During a consultation, your doctor will use various techniques to assess the symptom: Bulging veins. These will include a physical examination and possibly diagnostic tests. (Note: A physical exam is always done, diagnostic tests may or may not be performed depending on the suspected condition) Your doctor will ask several questions when assessing your condition. It is important to openly share any pertinent information to help your doctor make an accurate diagnosis.

It is also very important to bring an up-to-date list of all of your all medical conditions, medications including dosages, and names of numbers of any specialist you see.

Create your printable checklist by answering questions that your doctor may ask below:

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  1. How long have you noticed the bulging veins?

    Why: to determine if acute or chronic.

  2. Where have you noticed the bulging veins?

    Why: e.g. neck, chest, abdomen, legs or around the anus.

  3. Risk factors for varicose veins?

    Why: e.g. female sex, family history, pregnancy, multiple pregnancies, increasing age, standing occupations, low fiber diet.

  4. Past medical history?

    Why: e.g heart attack, disease of heart muscle, severe lung disease may suggest right heart failure; Rheumatic heart disease - may suggest tricuspid heart valve stenosis or regurgitation as a cause of bulging neck veins or chronic heart failure as a cause of portal hypertension; Rheumatoid arthritis, chronic renal failure, tuberculosis, chest radiotherapy, heart operation, heart trauma - may suggest causes of Constrictive pericarditis; Jaundice ( may suggest cirrhosis of liver as cause of portal hypertension); pulmonary embolism or deep venous thrombosis ( may indicate clotting tendency and thus suggest a possible cause of portal hypertension, inferior vena caval obstruction or varicose veins).

  5. Medications?

    Why: e.g. oral contraceptive pill may cause Budd-Chiari Syndrome which is a cause of portal hypertension.

  6. Cigarette smoking?

    Why: is a major risk factor for lung cancer which may cause superior vena caval obstruction and thus bulging neck veins.

  7. Alcohol history?

    Why: will give information about likelihood of liver disease and consequent portal hypertension.

  8. Family history?

    Why: e.g. varicose veins.

  9. Symptoms of varicose veins?

    Why: e.g. leg fatigue, leg heaviness, aching discomfort in legs and itching.

  10. Symptoms of varicose vein complications?

    Why: e.g. superficial thrombophlebitis ( inflammation with clotting within the vein), skin ulceration, bleeding, skin cancer changes.

  11. Symptoms of deep venous thrombosis?

    Why: e.g. swollen ankle, pain in calf, warmth in calf - may suggest a clotting tendency and thus suggest a possible cause of portal hypertension, inferior vena caval obstruction or varicose veins).

  12. Symptoms of constipation?

    Why: may suggest a possible cause of hemorrhoids and a risk factor for varicose veins.

  13. Symptoms of right ventricular heart failure?

    Why: e.g. bulging neck veins, ankle swelling, abdominal swelling, nausea.

  14. Symptoms of lung cancer?

    Why: e.g. bulging neck and chest veins if lung cancer is obstructing the superior vena cava, cough, blood in sputum, shortness of breath, weight loss, chest pain.

  15. Symptoms of retrosternal thyroid?

    Why: e.g. bulging neck and chest veins if thyroid is obstructing the superior vena cava, mild discomfort with swallowing, mild shortness of breath.

  16. Abdominal swelling or distention?

    Why: may suggest ascites (accumulation of fluid in the abdominal cavity) which can occur with either portal hypertension or inferior vena caval obstruction.

  17. Abdominal pain?

    Why: can get a stretching sensation from abdominal distention of ascites; or localized pain from congested liver, large spleen or bowel cancer.

  18. Indigestion?

    Why: may be due to tense abdominal ascites or abdominal tumor.

  19. Breathing difficulties?

    Why: may be due to pressure on lungs from ascites fluid.

  20. Change in bowel habit?

    Why: may suggest a bowel or other cancer which could be obstructing the inferior vena cava.

Conditions listing medical symptoms: Bulging veins:

The following list of conditions have 'Bulging veins' or similar listed as a symptom in our database. This computer-generated list may be inaccurate or incomplete. Always seek prompt professional medical advice about the cause of any symptom.

Select from the following alphabetical view of conditions which include a symptom of Bulging veins or choose View All.

 

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