Answer 33

33.   Choice A is the correct answer.  This patient has varicose veins likely from incompetent venous valves.  TED hose is the best conservative treatment for this.  Weight loss may help but would not help him right now.  Vein stripping is a more invasive procedure that is done after treatment failure.  Anticoagulants are not indicted for this.  Low dose diuretic may be beneficial also.