Bilateral Swelling in Surgery — 46yo Woman | Vascular Surgery | SMLE Q#11867
SMLE Question #11867
Surgery
Vascular Surgery
Last updated: February 2026
A 46-year-old woman has 6 years of prominent varicose veins along the medial legs with bilateral swelling and aching that worsen after prolonged standing. She has no claudication or rest pain. Examination shows dilated, tortuous superficial veins in the great saphenous distribution bilaterally, intact peripheral pulses, and no skin ulceration or features of acute deep vein thrombosis. What is the most appropriate initial investigation to assess venous anatomy and haemodynamics before planning treatment?
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