Download - CEAP: The Key to the Initial Consultation
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Paul M. McNeill, MD FACSCapitol Vein and Laser CenterMaryland, Virginia, Washington, DC
CEAP: The Key to the initial consultation
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CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
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CEAP: initial consultation
Two Levels
Basic CEAP
Full CEAP
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CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
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CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
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CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
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CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
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CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
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CEAP: initial consultation
C Physical ExamInspectionPalpationAuscultationMusculoskeletal
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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CEAP: initial consultation
C C1 TelangiectasiaC2 Varicose VeinsC3 EdemaC4 Skin ChangesC5 Healed UlcerC6 Active UlcerCA,S Symptoms
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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
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CEAP: initial consultation
C CA: AsymptomaticTinglingAchingFatigue or leg tirednessCrampingRestless legsFocal painSwellingSensations of throbbing or HeavinessItching skin
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CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
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CEAP: initial consultation
E EtiologicEc CongenitalEs SecondaryEp Primary
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CEAP: initial consultation
E EtiologicEc CongenitalEs SecondaryEp Primary
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CEAP: initial consultation
E EtiologicEc CongenitalEs SecondaryEp Primary
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CEAP Anatomic Classification
C ClinicalE EtiologicA AnatomicP Pathophysiologic
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CEAP: Anatomic
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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
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CEAP Basic Anatomic Classification
Anatomic Classification
As SuperficialAp PerforatingAd DeepAn No location
identified
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CEAP Basic Anatomic Classification
Anatomic Classification
As SuperficialAp PerforatingAd DeepAn No location
identified
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CEAP Anatomic Classification
A C2SEpAsPr
A Anatomic
s category
2 segment number
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CEAP Anatomic Classification
A C2SEpAsPr
A Anatomic
s category
2 segment number
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CEAP Anatomic Classification
A C2SEpAsPr2
A Anatomic
s category
2 segment number
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CEAP Anatomic Classification
A C2SEpAsPr
A Anatomic
s category
2 segment number
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CEAP Anatomic Classification
C ClinicalE EtiologicA AnatomicP Pathophysiology
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CEAP Pathophysiology Classification
Pathophysiology
Pr RefluxPo ObstructionPr,o BothPn None Identified
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Consultation
Telangiectasia 1
Varicose veins 2
Edema 3
Symptomatic s
C3s
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Consultation
Telangiectasia 1
Varicose veins 2
Edema 3
Symptomatic s
Etiology – Primary p
C3sEp
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Anatomic
GSV above knee s
SSV s
Tibial vein reflux d
Telangiectasia s
C3EpAs,d
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Pathophysiologic
GSV above knee s
SSV s
Tibial vein reflux d
Telangiectasia s
Pathophysiology r
C3EpAs,dPr
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CEAP Classification
C3 Edema
CS symptomatic
Ep Primary
As,d Superficial, Deep
Pr Reflux
C3sEpAs,dPr
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CEAP Classification
Level of Evaluation
1 History, exam, doppler
2 Duplex
3 Invasive or Complex
Date of Evaluation
C3sEpAs,dPr
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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)
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Consultation
Telangiectasia 1
Varicose veins 2
Pigmentation 4
Symptomatic s
C4s
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Etiology
Telangiectasia 1
Varicose veins 2
Pigmentation 4
Symptomatic s
Etiology - Secondary s
C4sEs
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Anatomy
Common Fem Vein d
GSV s
C4sEsAs,d
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Pathophysiology
Common Fem Vein d
GSV s
Pathophysiology r
C4sEsAs,dPr
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Anatomy
Common Fem Vein d
GSV s
Pathophysiology r
Level of investigation 2
Date of evaluation
C4sEsAs,dPr(Level 2, April 4, 2014)
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CEAP: initial consultation
C ClinicalE EtiologicA AnatomicP Pathophysiologic
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Paul M. McNeill, MD FACSCapitol Vein and Laser CenterMaryland, Virginia, Washington, DC
CEAP: The Key to the initial consultation
Next – Venous Clinical Severity Score
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Paul M. McNeill, MD FACSCapitol Vein and Laser CenterMaryland, Virginia, Washington, DC
CEAP: The Key to the initial consultation