No Significant Past Medical in Surgery — 34yo Woman | Vascular Surgery | SMLE Q#4890
SMLE Question #4890
Surgery
Vascular Surgery
Last updated: February 2026
A 34-year-old woman with no significant past medical history presents for evaluation of small “spider veins” on both legs that she finds cosmetically unacceptable. She denies leg pain, swelling, heaviness, skin discoloration, prior venous ulcers, or prior deep vein thrombosis. Examination shows a few superficial telangiectasias around the ankles and thighs, with no varicose veins, edema, or skin changes of chronic venous disease. She is considering sclerotherapy for cosmetic reasons and asks what testing is needed before treatment. What is the most appropriate pre-procedure investigation?
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