Question

Asymptomatic varicose veins under CEAP scoring will be classified as

• A. C2a
• B. C2b
• C. C3a
• D. C3b

Hint:

In CEAP classification, C2 denotes varicose veins; the suffix 'a' indicates asymptomatic.

Answer 1

The Correct Option is A

Step 1: Recall the CEAP classification system. CEAP stands for Clinical, Etiological, Anatomical, and Pathophysiological classification of chronic venous disease. The Clinical component (C) ranges from C0 to C6:
C0 -- No visible or palpable signs of venous disease
C1 -- Telangiectasias or reticular veins (thread veins, diameter <3 mm)
C2 -- Varicose veins (diameter >3 mm)
C3 -- Edema
C4 -- Skin changes (pigmentation, eczema, lipodermatosclerosis, atrophie blanche)
C5 -- Healed venous ulcer
C6 -- Active venous ulcer

Step 2: Apply the symptomatic suffix. Each clinical class is further qualified by:
'a' = asymptomatic
'b' = symptomatic (pain, aching, tightness, heaviness, irritation, etc.)

Step 3: Classify the question. Varicose veins (diameter >3 mm) = C2. Asymptomatic = suffix 'a'. Therefore, asymptomatic varicose veins = C2a.

Conclusion: The correct CEAP classification for asymptomatic varicose veins is C2a.