This 60 year old obese smoker complains of aching and swelling of his legs, especially when standing or seated for a prolonged time. The pain is not relieved with rest. His past surgical history is significant for bilateral knee replacements for osteoarthritis.
Challenge: What's your diagnosis?
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Tired Heavy Legs
ReplyDeleteThis is chronic venous insufficiency with varicose veins.
Sources: UpToDate; Wikipedia.