Author/Editor		Kozak, M
Title		How reliable is the clinical diagnosis of acute leg deep venous thrombosis?
Type		članek
Source		In: Balas P. Progress in angiology 1991. ?: Edizioni minerva medica,
Publication year		1992
Volume		str. 221-2
Language		eng
Abstract		In order to establish sensitivity, specificy, accuracy and predictive value of the most common clinical signs used in diagnosis of deep venous thrombosis (DVT), 266 consecutive outpatients with DVT diagnosis made by general practitioner (GP) were investigated. Clinical signs, and the diagnosis made by GP and a specialist were compared to the computerized impedance plethysmography (CIP). The most sensitive clinical signs were: swelling (75 percent), or tenderness under the knee (72 percent). The most accurate signs were: tenderness and/or edema of whole leg (80-83 percent). The specialist's diagnosis was accurate in 84 percent, while GP's in only 23 percent. It could be concluded that the clinical diagnosis of DVT is more reliable than reported.
Descriptors		THROMBOPHLEBITIS LEG PHYSICAL EXAMINATION FAMILY PRACTICE OUTPATIENT CLINICS, HOSPITAL SENSITIVITY AND SPECIFICY