Overview Snapshot A 46-year-old woman presents for the evaluation of “visible” veins in both her lower extremities. She describes this as unappealing, but denies any associated discomfort. She has worked as a cashier for the past 10 years, where she spends the majority of her time standing. On exam, there are palpable, dilated tortuous subcutaneous veins measuring approximately 3.5 mm in diameter while in the upright position. Introduction Varicose veins login to view 5 more bullets Etiology login to view 3 more bullets Pathogenesis login to view 2 more bullets Epidemiology login to view 3 more bullets Presentation Symptoms login to view 1 more bullet Physical exam login to view 1 more bullet Evaluation Clinical diagnosis Duplex ultrasound Differential Diagnosis Reticular veins Telangiectasias Treatment Compression therapy login to view 1 more bullet Vein ablation therapy Prognosis, Prevention, and Complications Prognosis login to view 3 more bullets Complications login to view 2 more bullets