A CEAP classification of C4b E p A s P r in chronic venous disease indicates which clinical finding?

• A Varicose veins with active venous ulcer, primary aetiology, superficial reflux
• B Healed venous ulcer, secondary aetiology, deep venous obstruction
• C Oedema only, primary aetiology, superficial reflux
• D Skin changes with lipodermatosclerosis/atrophie blanche, primary aetiology, superficial and perforator reflux ✓

Explanation

CEAP: C4b = skin changes — lipodermatosclerosis or atrophie blanche (more severe than C4a = pigmentation/eczema); Ep = primary aetiology; As = superficial anatomical location; Pr = reflux pathophysiology. C6 = active ulcer; C5 = healed ulcer. Secondary aetiology would be 'Es'. Deep obstruction = Ao (obstruction) in a deep location (Ad). Understanding CEAP notation allows precise staging of chronic venous disease for research and audit.

Reference: Bailey & Love's Short Practice of Surgery, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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