A 35-year-old woman with obesity complains of dull aching pain in her right lower leg. Physical examination reveals skin changes with brownish discoloration and edema. What could be the potential diagnosis and management?
The patient's symptoms and physical findings suggest chronic venous insufficiency (CVI), a condition often seen in individuals with obesity due to increased pressure in the leg veins. Diagnosis can be confirmed with a duplex ultrasound to assess blood flow and vein function. Management would include weight loss, leg elevation, compression stockings, and potentially procedures to improve venous circulation.