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