Fallibility of the clinical diagnosis of venous thrombosis
R. W. Barnes, K. K. Wu and J. C. Hoak
Doppler ultrasound examination confirmed the diagnosis of acute venous
thrombosis in only 194 (37%) of 527 patients. Of the remaining 333
patients, 245 (74%) had some other evident cause of the limb complaints.
The postphlebitic stasis syndrome; symptomatic varicose veins; congestive
heart failure; leg trauma; venous or lymphatic obstruction by malignancy;
cellulitis or lymphangitis; arthritis; and pregnancy were etiologic factors
in these patients. The proved inaccuracy of the bedside diagnosis of leg
vein thrombosis stresses the need for accurate objective verification of
venous disease before committing the patient to a full course of
anticoagulant therapy. For most clinicians, a contrast phlebogram is the
most available and reliable diagnostic procedure.
Imaging Characteristics of a Novel Technetium Tc 99m-Labeled Platelet Glycoprotein IIb/IIIa Receptor Antagonist in Patients With Acute Deep Vein Thrombosis or a History of Deep Vein Thrombosis
Bates et al.
Arch Intern Med 2003;163:452-456.
ABSTRACT
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The use of automated strain gauge plethysmography in the diagnosis of deep vein thrombosis
Maskell et al.
Br. J. Radiol. 2002;75:648-651.
ABSTRACT
| FULL TEXT
Computer-assisted venous occlusion plethysmography in the diagnosis of acute dee venous thrombosis
Flanagan et al.
QJM 2000;93:277-282.
ABSTRACT
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Deep Venous Thrombosis: Recent Advances and Optimal Investigation with US
Fraser and Anderson
Radiology 1999;211:9-24.
FULL TEXT
Does This Patient Have Deep Vein Thrombosis?
Anand et al.
JAMA 1998;279:1094-1099.
ABSTRACT
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Low Risk of Subsequent Deep-Venous Thrombosis in Patients with a Negative Venous Duplex Scan
Bona et al.
CLIN APPL THROMB HEMOST 1996;2:30-34.
ABSTRACT
Real-Time Ultrasound in the Diagnosis of Acute Deep Venous Thrombosis of the Lower Extremity
Habscheid et al.
ANGIOLOGY 1990;41:599-608.
ABSTRACT
Controversies and Enigmas in Thrombophlebitis and Pulmonary Embolism: Perspectives on Alleged Overdiagnosis
Roberts
ANGIOLOGY 1980;31:686-699.
ABSTRACT
The Noninvasive Diagnosis of Thrombophlebitis in the Lower Extremities: Clinical Value of Plethysmography Combined with Augmentation Methods and a New Scoring System
Roberts et al.
ANGIOLOGY 1978;29:275-295.
