TY - CHAP M1 - Book, Section TI - Venous Insufficiency A1 - Sheehan, Maureen K. A2 - Usatine, Richard P. A2 - Smith, Mindy A. A2 - Mayeaux, Jr., E.J. A2 - Chumley, Heidi S. Y1 - 2019 N1 - T2 - The Color Atlas and Synopsis of Family Medicine, 3e AB - A 45-year-old woman presents to her physician's office with complaints of heaviness and fatigue in her legs (Figure 54-1). She does not experience the symptoms in the morning, but they become more noticeable as the day progresses and with prolonged standing. When she stands for many hours, she develops swelling in both of her legs. The symptoms are concentrated over her medial calf, where she has prominent tortuous veins. She first noted the veins approximately 20 years ago when she was pregnant. Initially, they did not cause her any discomfort but have progressively enlarged now and over the past 10 years have become increasingly painful. She recalls that her mother had similar veins in her legs. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=1164347072 ER -