ceap: the key to the initial consultation
DESCRIPTION
By: Paul M. McNeill, MD FACS Visit VeinGlobal at http://www.veinglobal.com/ for more presentations and videos on this topic, or for more information on venous disease news, education and research.TRANSCRIPT
Paul M. McNeill, MD FACSCapitol Vein and Laser CenterMaryland, Virginia, Washington, DC
CEAP: The Key to the initial consultation
CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
CEAP: initial consultation
Two Levels
Basic CEAP
Full CEAP
CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
CEAP: initial consultationSymptoms of Venous Disease Tingling Aching Fatigue or leg tiredness Cramping Restless legs Focal pain Swelling Sensations of throbbing or
Heaviness Itching skin
CEAP: initial consultation
C CA: AsymptomaticTinglingAchingFatigue or leg tirednessCrampingRestless legsFocal painSwellingSensations of throbbing or HeavinessItching skin
CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
CEAP: initial consultation
E EtiologicEc CongenitalEs SecondaryEp Primary
CEAP: initial consultation
E EtiologicEc CongenitalEs SecondaryEp Primary
CEAP: initial consultation
E EtiologicEc CongenitalEs SecondaryEp Primary
CEAP Anatomic Classification
C ClinicalE EtiologicA AnatomicP Pathophysiologic
CEAP: Anatomic
CEAP Full Anatomic Classification
Segment Number# Name # Name
1 Telangectasia, reticular 10 Pelvic
2 GSV above knee 11 Common femoral Vein
3 GSV below knee 12 Deep Femoral Vein
4 Small saphenous vein 13 Femoral
5 Non-saphenous vein 14 Popliteal Vein
6 Inferior vena cava 15 Crural veins
7 Common iliac vein 16 Muscular veins
8 Internal iliac vein 17 Thigh perforator vein
9 External iliac vein 18 Calf perforator vein
CEAP Basic Anatomic Classification
Anatomic Classification
As SuperficialAp PerforatingAd DeepAn No location
identified
CEAP Basic Anatomic Classification
Anatomic Classification
As SuperficialAp PerforatingAd DeepAn No location
identified
CEAP Anatomic Classification
A C2SEpAsPr
A Anatomic
s category
2 segment number
CEAP Anatomic Classification
A C2SEpAsPr
A Anatomic
s category
2 segment number
CEAP Anatomic Classification
A C2SEpAsPr2
A Anatomic
s category
2 segment number
CEAP Anatomic Classification
A C2SEpAsPr
A Anatomic
s category
2 segment number
CEAP Anatomic Classification
C ClinicalE EtiologicA AnatomicP Pathophysiology
CEAP Pathophysiology Classification
Pathophysiology
Pr RefluxPo ObstructionPr,o BothPn None Identified
Consultation
Telangiectasia 1
Varicose veins 2
Edema 3
Symptomatic s
C3s
Consultation
Telangiectasia 1
Varicose veins 2
Edema 3
Symptomatic s
Etiology – Primary p
C3sEp
Anatomic
GSV above knee s
SSV s
Tibial vein reflux d
Telangiectasia s
C3EpAs,d
Pathophysiologic
GSV above knee s
SSV s
Tibial vein reflux d
Telangiectasia s
Pathophysiology r
C3EpAs,dPr
CEAP Classification
C3 Edema
CS symptomatic
Ep Primary
As,d Superficial, Deep
Pr Reflux
C3sEpAs,dPr
CEAP Classification
Level of Evaluation
1 History, exam, doppler
2 Duplex
3 Invasive or Complex
Date of Evaluation
C3sEpAs,dPr
CEAP Classification
Level of Evaluation
1 History, exam, doppler
2 Duplex
3 Invasive or Complex
Date of Evaluation
C3sEpAs,dPr(Level 2, April 23, 2014)
Consultation
Telangiectasia 1
Varicose veins 2
Pigmentation 4
Symptomatic s
C4s
Etiology
Telangiectasia 1
Varicose veins 2
Pigmentation 4
Symptomatic s
Etiology - Secondary s
C4sEs
Anatomy
Common Fem Vein d
GSV s
C4sEsAs,d
Pathophysiology
Common Fem Vein d
GSV s
Pathophysiology r
C4sEsAs,dPr
Anatomy
Common Fem Vein d
GSV s
Pathophysiology r
Level of investigation 2
Date of evaluation
C4sEsAs,dPr(Level 2, April 4, 2014)
CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
Paul M. McNeill, MD FACSCapitol Vein and Laser CenterMaryland, Virginia, Washington, DC
CEAP: The Key to the initial consultation
Next – Venous Clinical Severity Score
Paul M. McNeill, MD FACSCapitol Vein and Laser CenterMaryland, Virginia, Washington, DC
CEAP: The Key to the initial consultation