Lymphedema Clinical Classification
- Subclinical/Stage 0: There is an excess interstitial fluid but no clinically apparent lymphedema. Extremity feels full or heavy.
- Stage 1: Edema pits on pressure and swelling largely or completely disappears on elevation and bedrest. Puffy appearance to the extremity.
- Stage 2: Edema does not pit and does not significantly reduce upon elevation. Extremity appears spongey.
- Stage 3: Edema associated with irreversible skin changes, fibrosis, papillae.
Venous insufficiency classification:
CEAP Clinical Score | Description |
---|---|
C0 | No visible or palpable varicose veins |
C1 | Telangectasia (Thread veins / Spider veins / Broken veins) |
C2A | Varicose veins without any symptoms (Asymptomatic) |
C2S | Varicose veins with symptoms |
C3 | Swollen ankle (oedema) due to varicose veins or hidden varicose veins (venous reflux) |
C4 | Skin damage due to varicose veins or hidden varicose veins (venous reflux) |
C5 | Healed venous leg ulcer |
C6 | Venous leg ulcer |
Clinical Classification of acute limb ischemia
Category I
- Prognosis Not immediately threatened
- Sensory Loss None
- Muscle Weakness None
- Artery Audible
- Vein Audible
Category II
- IIa Marginally
- Prognosis Salvageable if promptly treated
- Sensory Loss Minimal (toes)
- Muscle weakness None
- Artery Often audible
- Vein Audible
- II b Immediately
- Prognosis Salvageable with immediate revascularization
- Sensory loss More than toes
- Muscle weakness Mild, Moderate
- Artery Usually inaudible
- Vein Audible
Category III
- Prognosis Major tissue loss or permanent nerve damage inevitable
- Sensory loos Profound anesthesia
- Muscle weakness Profund paralysis
- Artery Inaudible
- Vein Inaudible