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| '''Editors-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]] '''Associate Editor-In-Chief''': [[User:Kashish Goel|Kashish Goel, M.D.]]; [[User:Ujjwal Rastogi|Ujjwal Rastogi, MBBS]][mailto:urastogi@perfuse.org]
| | #Redirect [[Deep vein thrombosis special scenario pregnancy]] |
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| {{Deep vein thrombosis}}
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| ==Overview==
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| The approach to diagnosis of [[DVT]] may be modified in certain situations, where the suspicion is high or there is a recurrent episode. This chapter will discuss these modifications, that have been recommended the American College of Chest Physicians.
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| ===[[CUS]] chosen as the first initial test==
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| It is recommended that [[Deep vein thrombosis pretest probabiltiy|pretest probability]] should be computed in each patient to assess the need for further testing. However in certain clinical scenarios (like moderate probability), the clinician may decide to proceed with [[Deep vein thrombosis ultrasound|ultrasound]] as the first test.
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| * If positive, then treatment should be started.
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| * If negative, repeat [[Deep vein thrombosis ultrasound|ultrasound]] or D-dimer testing should be done in 1 week.
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| ===Positive D-dimer only===
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| * If the initial D-dimer is positive, but [[Deep vein thrombosis ultrasound|ultrasound]] is negative, a repeat [[Deep vein thrombosis ultrasound|compression ultrasound]] should be performed in 1 week.
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| ===Isolated distal DVT===
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| * On identification of an isolated [[DVT]] in the distal calf veins, serial testing is recommended to rule out proximal extension.
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| ===Recurrent [[DVT]]==
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| ==References==
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| {{reflist|2}}
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| [[Category:Hematology]]
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| [[Category:Pulmonology]]
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| [[Category:Cardiology]]
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| [[Category:Emergency medicine]]
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| [[Category:Mature chapter]]
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| {{WH}}
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| {{WS}}
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