A 47-Year-Old Woman Complaining of a Dull, Aching Pain in the Lower

A 47-year-old woman complaining of a dull, aching pain in the lower part of both legs visited her physician. She stated that the pain was particularly severe at the end of a long day of standing at her work. On examination, the patient was found to have widespread
-The following symptoms and signs supported the diagnosis except which?

A) The patient stated that the skin down the medial side of the leg was irritated especially in dry weather.
B) If the patient coughed in the standing position, a fluid thrill was transmitted from the abdomen to the hand palpating the veins.
C) The skin showed marked discoloration over the medial malleoli and was dry and scaly.
D) The patient had a large family of six children and the varicose veins showed improvement during each pregnancy.
E) The great and small saphenous veins in both legs were enlarged and elongated.