title: Predictive value of bedside clinical signs and symptoms in early diagnosis of deep vein thrombosis in acutely ill medical patients with special reference to deep vein thrombosis prophylaxis.
abstract: Deep vein thrombosis (DVT) is highly elusive in the sense, that being so common among acutely ill hospitalised patients with multiple risk factors yet remain mostly unrecognised particularly at the early stage. Pulmonary thrombo-embolism (PTE), the most sinister acute complication of DVT carries a high mortality on one hand and involves expensive medicare and investigations on the other hand. Many studies that have been undertaken in recent past on this important clinical issue have produced a wealth of published data to show that in the absence of prophylaxis for DVT in such a setting the mortality rates were significantly high. The need to exphasise importance of DVT prophylaxis has now become a unified word in the management of acutely ill medical patient. This article emphasises the advantages of astute bedside clinical examination in identifying DVT early and the need for prophylaxis to prevent this morose condition.
authors.affiliation: Department of General Medicine, NRS Medical College and Hospital, Kolkata 700014.
authors.forename: P
authors.initials: P
authors.lastname: Mukhopadhyay
authors.forename: U
authors.initials: U
authors.lastname: Sinha
authors.forename: J
authors.initials: J
authors.lastname: Ghosh
authors.forename: C A
authors.initials: CA
authors.lastname: Philips
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000627:therapeutic use; D016638:Critical Illness; D042241:Early Diagnosis; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006760:Hospitalization; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011446:Prospective Studies; D018616:Ultrasonography, Doppler, Duplex; D020246:Venous Thrombosis / Q000175:diagnosis* / Q000517:prevention & control
chemical_list: D000925:Anticoagulants; D006493:Heparin