A 51-year-old woman complaining of edema of the bilateral lower extremities from ankles to midcalf.

A 51-year-old woman complaining of edema of the bilateral lower extremities from ankles to midcalf. She is obese and says that she has been overweight most of her life. She doesn’t remember when the swelling started. She just decided that she should come have it checked the patient, denies any pain, but admits that her legs do begin to eight by the end of the day the swelling seems to go down overnight and it gets better when she sits with her legs on the ottoman her feet are warm to the touch with capillary refill of the toes brisk at less than three seconds additional physical examination is likely to reveal.

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