Question 33

33.  Your patient is a 63 year old male that presents with +2 edema BLE that he has had for two years.  His CBC and Chem 7 are normal.  His legs are pictured below?  Which of the following is the best first management option?

A.  TED Hose
B.  Vein Stripping
C.  Weight Loss
D.  Start on anticoagulants