RT Book, Section
A1 Boyd, Jeremy S.
A1 Melton, Myles
A1 Rupp, Jordan D.
A1 Ferre, Robinson M.
A2 Knoop, Kevin J.
A2 Stack, Lawrence B.
A2 Storrow, Alan B.
A2 Thurman, R. Jason
SR Print(0)
ID 1181052139
T1 Deep Venous Thrombosis Ultrasound
T2 The Atlas of Emergency Medicine, 5e
YR 2021
FD 2021
PB McGraw-Hill
PP New York, NY
SN 9781260134940
LK accessmedicine.mhmedical.com/content.aspx?aid=1181052139
RD 2024/04/19
AB The  presence  of  a  deep  venous  thrombosis  (DVT)  is  part  of  the  differential  diagnosis  of  a  variety  of  signs  and  symptoms.  Although  clinical  scoring  algorithms  have  been  developed  to  gauge  risk,  no  clinical  findings  are  conclusive  of  this  condition,  and  imaging  is  necessary  to  confirm  the  diagnosis.  Ultrasound  is  a  sensitive,  noninvasive  imaging  modality  that  can  be  performed  rapidly  and  essentially  without  contraindication.  Radiology-performed  studies  are  not  always  readily  available  emergently;  thus,  an  emergency  physician  properly  trained  in  bedside  ultrasonography  can  help  guide  and  hasten  care  by  performing  a  limited  serial  compression  examination  of  the  proximal  leg  veins.  This  exam  has  been  shown  to  be  highly  sensitive  for  diagnosis  of  DVT  in  symptomatic  ED  patients  when  performed  by  properly  trained  individuals.