Deep vein thrombosis physical examination: Difference between revisions
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{{Deep vein thrombosis}} | {{Deep vein thrombosis}} | ||
===Physical examination=== | |||
Physical examination may reveal | Physical examination may reveal | ||
*palpable cord (reflecting a thrombosed vein) | *palpable cord (reflecting a thrombosed vein) | ||
| Line 8: | Line 8: | ||
*unilateral edema or swelling with a difference in calf diameters, warmth, tenderness, erythema. | *unilateral edema or swelling with a difference in calf diameters, warmth, tenderness, erythema. | ||
*Superficial venous dilation. | *Superficial venous dilation. | ||
# [[Homan's test]]: Dorsiflexion of foot elicits pain in posterior calf | |||
# Pratt's sign: Squeezing of posterior calf elicits pain | |||
However, these [[medical sign]]s do not perform well and are not included in [[clinical prediction rule]]s that combine best findings in order to diagnose DVT.<ref name="pmid16403932">{{cite journal |author=Wells PS, Owen C, Doucette S, Fergusson D, Tran H |title=Does this patient have deep vein thrombosis? |journal=JAMA |volume=295 |issue=2 |pages=199-207 |year=2006 |pmid=16403932 |doi=10.1001/jama.295.2.199}}</ref> | |||
[[Category:Hematology]] | [[Category:Hematology]] | ||
Revision as of 20:29, 22 August 2011
Editors-in-Chief: C. Michael Gibson, M.S., M.D. Associate Editor-In-Chief: Ujjwal Rastogi, MBBS [1]
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Physical examination
Physical examination may reveal
- palpable cord (reflecting a thrombosed vein)
- calf or thigh pain
- unilateral edema or swelling with a difference in calf diameters, warmth, tenderness, erythema.
- Superficial venous dilation.
- Homan's test: Dorsiflexion of foot elicits pain in posterior calf
- Pratt's sign: Squeezing of posterior calf elicits pain
However, these medical signs do not perform well and are not included in clinical prediction rules that combine best findings in order to diagnose DVT.[1]
- ↑ Wells PS, Owen C, Doucette S, Fergusson D, Tran H (2006). "Does this patient have deep vein thrombosis?". JAMA. 295 (2): 199–207. doi:10.1001/jama.295.2.199. PMID 16403932.