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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 postthrombotic syndrome. © 2009 Royal College of Physicians of Edinburgh.

Type

Journal article

Journal

Journal of the Royal College of Physicians of Edinburgh

Publication Date

01/12/2009

Volume

39

Pages

243 - 246