RT Book, Section A1 Desai, Sapan S. A1 Mowatt-Larssen, Eric A2 Dean, Steven M. A2 Satiani, Bhagwan A2 Abraham, William T. SR Print(0) ID 1105291735 T1 OVERVIEW OF SPIDER, RETICULAR, AND VARICOSE VEINS T2 Color Atlas and Synopsis of Vascular Diseases YR 2015 FD 2015 PB McGraw-Hill Medical PP New York, NY SN 9780071749541 LK accesscardiology.mhmedical.com/content.aspx?aid=1105291735 RD 2024/04/25 AB A 44-year-old man presents with a 5-year history of progressive right lower extremity pain, discomfort, swelling and prominent calf veins (Figure 63-1). His symptoms occur daily, and are worse with standing, particularly during his job as a nurse working 12-hour shifts in the emergency department. Overnight his symptoms improve. He has no other known past medical history, including that of venous thromboembolism. He is interested in an intervention to improve his quality of life. Physical examination is notable only for large medial calf varicose veins and mild pitting edema around the ankle.