[Diagnosing deep vein thrombosis in the leg].
As a consequence of changes in lifestyle, an ageing population sometimes overdoing things in terms of sports activities, long-haul travel and an increasing incidence of malignomas, deep vein thrombosis (DVT) is increasingly being seen in ambulatory patients. The incidence of DVT is some 0.1-0.3%, and increases with age. With ultrasound and phlebography the exclusion of a thrombosis is almost always possible in an ambulatory setting. Diagnostic algorithms involving the standardized determination of clinical probability (CP) and measurement of D-dimers can help to reduce diagnostic problems in the doctor's office. A low CP in combination with a negative D-dimer excludes a DVT with virtual certainty.
Gerlach
Horst
H
Praxis für Gefässerkrankungen, Mannheim. drgerlach@t-online.de
D000465:Algorithms; D003937:Diagnosis, Differential; D005338:Fibrin Fibrinogen Degradation Products / Q000032:analysis*; D006801:Humans; D010146:Pain / Q000209:etiology; D010690:Phlebography; D017410:Practice Guidelines as Topic; D011237:Predictive Value of Tests; D014463:Ultrasonography; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000209:etiology
D005338:Fibrin Fibrinogen Degradation Products; C036309:fibrin fragment D