Deep vein thrombosis differential diagnosis
Editor(s)-In-Chief: The APEX Trial Investigators, C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2] Kashish Goel, M.D.; Assistant Editor(s)-In-Chief: Justine Cadet
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Overview
Only 25% of the patient evaluated for deep vein thrombosis (DVT) have the disease.[1] DVT is characterized by pain and swelling of the limb, which is not specific. Numerous patients with DVT are asymptomatic.
Differentiating Deep Vein Thrombosis from Other Diseases
There are other conditions that can mimic VTE
- Venous
- Superficial thrombophlebitis
- Post-thrombotic syndrome
- Chronic venous insufficiency
- Venous obstruction
- Other
- Cellulitis
- Torn gastrocnemius muscle
- Fracture
- Haematoma
- Acute arterial ischaemia
- Lymphoedema
- Hypoproteinaemia (for example, cirrhosis, nephrotic syndrome)
- Muscle tear or leg strain
- Leg swelling in a paralyzed limb
- Lymphangitis or lymph obstruction
- Popliteal/Baker's cyst
- Cellulitis
- Knee abnormality
References
- ↑ Huisman MV, Büller HR, ten Cate JW, Vreeken J (1986). "Serial impedance plethysmography for suspected deep venous thrombosis in outpatients. The Amsterdam General Practitioner Study". N Engl J Med. 314 (13): 823–8. doi:10.1056/NEJM198603273141305. PMID 3951515.