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Noninvasive diagnosis of deep venous thrombosis.
Arch Intern Med. 1976 Oct; 136(10):1091-6.AI

Abstract

Eighty-five patients suspected of having lower-extremity deep venous thrombosis (DVT) participated in a prospective study to test the diagnostic accuracy of four noninvasive techniques: Doppler ultrasonic flow study, electrical impedance plethysmography, the serial dilution protamine sulfate test, and an extensive physical examination. Ascending radiocontrast phlebography was the diagnostic standard of reference. We found that (1) when both Doppler and impedance examinations were positive, the diagnosis of DVT could be considered virtually certain; (2) impedance and Doppler examinations, when used in combination, were reliable screening tests capable of establishing or excluding the presence of thigh DVT; (3) physical examination and the serial dilution protamine sulfate test were unreliable screening techniques for DVT; (4) techniques other than the noninvasive methods investigated were needed to reliably detect or to exclude popliteal and call DVT.

Authors

No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

788665

Citation

Richards, K L., et al. "Noninvasive Diagnosis of Deep Venous Thrombosis." Archives of Internal Medicine, vol. 136, no. 10, 1976, pp. 1091-6.
Richards KL, Armstrong JD, Tikoff G, et al. Noninvasive diagnosis of deep venous thrombosis. Arch Intern Med. 1976;136(10):1091-6.
Richards, K. L., Armstrong, J. D., Tikoff, G., Hershgold, E. J., Booth, J. L., & Rampton, J. B. (1976). Noninvasive diagnosis of deep venous thrombosis. Archives of Internal Medicine, 136(10), 1091-6.
Richards KL, et al. Noninvasive Diagnosis of Deep Venous Thrombosis. Arch Intern Med. 1976;136(10):1091-6. PubMed PMID: 788665.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Noninvasive diagnosis of deep venous thrombosis. AU - Richards,K L, AU - Armstrong,J D,Jr AU - Tikoff,G, AU - Hershgold,E J, AU - Booth,J L, AU - Rampton,J B, PY - 1976/10/1/pubmed PY - 2001/3/28/medline PY - 1976/10/1/entrez SP - 1091 EP - 6 JF - Archives of internal medicine JO - Arch Intern Med VL - 136 IS - 10 N2 - Eighty-five patients suspected of having lower-extremity deep venous thrombosis (DVT) participated in a prospective study to test the diagnostic accuracy of four noninvasive techniques: Doppler ultrasonic flow study, electrical impedance plethysmography, the serial dilution protamine sulfate test, and an extensive physical examination. Ascending radiocontrast phlebography was the diagnostic standard of reference. We found that (1) when both Doppler and impedance examinations were positive, the diagnosis of DVT could be considered virtually certain; (2) impedance and Doppler examinations, when used in combination, were reliable screening tests capable of establishing or excluding the presence of thigh DVT; (3) physical examination and the serial dilution protamine sulfate test were unreliable screening techniques for DVT; (4) techniques other than the noninvasive methods investigated were needed to reliably detect or to exclude popliteal and call DVT. SN - 0003-9926 UR - https://www.unboundmedicine.com/medline/citation/788665/Noninvasive_diagnosis_of_deep_venous_thrombosis_ L2 - https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/vol/136/pg/1091 DB - PRIME DP - Unbound Medicine ER -