A 66-year-old woman has chronic bilateral leg swelling worse at the end of the day. Examination shows varicosities, hyperpigmentation near the

Question

A 66-year-old woman has chronic bilateral leg swelling worse at the end of the day. Examination shows varicosities, hyperpigmentation near the ankles, and intact pulses. There is no dyspnea or unilateral calf tenderness. Which of the following is the most likely diagnosis?

Accepted Answer

Chronic venous insufficiency

Answer

Deep venous thrombosis

Answer

Acute arterial occlusion

Answer

Lymphedema from malignancy

Answer

Cellulitis

Venous insufficiency — ABFM Board MCQ

A 66-year-old woman has chronic bilateral leg swelling worse at the end of the day. Examination shows varicosities, hyperpigmentation near the ankles, and intact pulses. There is no dyspnea or unilateral calf tenderness. Which of the following is the most likely diagnosis?