Journal Mobile

N Curry, D Keeling
Journal Issue: 
Volume 39: Issue 3: 2009




Deep  venous  thrombosis  is  a  diagnosis  that  should  be  considered  in any patient who presents with a swollen or painful leg. Clinical examination alone has low sensitivity and specificity for detecting patients with clots, and in recent years a diagnostic pathway has been devised that is more effective. This involves integration of three modalities: clinical assessment, D-dimer analysis and ultrasound. The management of a patient found to have a deep venous thrombosis includes immediate treatment but also the consideration of risk factors, family history, need for  thrombophilia  testing,  duration  of  treatment  and  the  prevention  of  post-thrombotic syndrome.