Document Detail


Physical examination findings in deep venous thrombosis.
MedLine Citation:
PMID:  11762276     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
DVT is a potentially serious disease and can serve as a marker for PE, an entity with even higher morbidity. Thus, it is critically important that emergency physicians consider this diagnosis in patients who present with suspicious symptoms. Recognition of alternative conditions, such as compartment syndrome, septic arthritis, and cellulitis, is also important for optimal care. Because physical examination is only 30% accurate for DVT, it serves to increase clinical suspicion in patients at risk but cannot be used to eliminate the possibility of thromboembolic disease. Because of this limitation, the diagnosis of DVT should be pursued using adjunctive testing in any patient with unexplained limb pain or swelling. Duplex sonography is currently the initial diagnostic study of choice for evaluation of DVT and, if test results are negative, it should be repeated serially if the clinical suspicion is high.
Authors:
D Kennedy; G Setnik; J Li
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Emergency medicine clinics of North America     Volume:  19     ISSN:  0733-8627     ISO Abbreviation:  Emerg. Med. Clin. North Am.     Publication Date:  2001 Nov 
Date Detail:
Created Date:  2001-12-12     Completed Date:  2001-12-28     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  8219565     Medline TA:  Emerg Med Clin North Am     Country:  United States    
Other Details:
Languages:  eng     Pagination:  869-76     Citation Subset:  IM    
Affiliation:
Division of Emergency Medicine, Harvard Medical School, Mount Auburn Hospital, Cambridge, Massachusetts, USA.
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MeSH Terms
Descriptor/Qualifier:
Causality
Diagnosis, Differential
Humans
Medical History Taking
Physical Examination / methods*
Venous Thrombosis / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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