A 32-year-old woman presents to the vascular clinic with longstanding varicose veins . She reports that they developed after a complex tibial fracture several years ago. On examination, she has prominent truncal varicosities , with a long, tortuous long saphenous vein (LSV) . What is the most appropriate next step in her management? Options: A. Arrange a venogram B. Arrange a venous duplex ultrasound scan C. List her for a Trendelenburg procedure (high saphenous ligation) D. List her for foam sclerotherapy E. List her for multiple avulsion phlebectomies Correct Answer: B. Arrange a Venous Duplex Ultrasound Scan Explanation: A venous duplex scan is the first-line investigation for varicose veins. It provides: A detailed assessment of valvular incompetence (reflux mapping). Visualization of both superficial and deep venous systems . Detection of any associated deep vein thrombosis (DVT) . The findings from a duplex scan are essential for deciding between surgical...
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