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Shortcomings of Physical Examination and Impedance Plethysmography in the Diagnosis of Lower Extremity Deep Venous Thrombosis

Accuracy in the diagnosis of lower extremity deep venous thrombosis (DVT) by physical examination and impedance plethysmography (IPG) is reviewed. Physical examination proved unreliable in distinguishing patients with and without acute disease. Swelling in the leg was, however, more prevalent in pat...

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Bibliographic Details
Published in:Angiology 1987-03, Vol.38 (3), p.232-235
Main Authors: Vaccaro, Patrick, Van Aman, Michael, Miller, Susan, Fachman, Jacque, Smead, William L.
Format: Article
Language:English
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Summary:Accuracy in the diagnosis of lower extremity deep venous thrombosis (DVT) by physical examination and impedance plethysmography (IPG) is reviewed. Physical examination proved unreliable in distinguishing patients with and without acute disease. Swelling in the leg was, however, more prevalent in patients with DVT. The sensitivity and specificity of IPG were less than those reported by other groups. Venography remains the most reliable diagnostic procedure in our institution.
ISSN:0003-3197
1940-1574
DOI:10.1177/000331978703800305