Diagnosis of deep venous thrombosis in obstetrics and gynecology by impedance phlebography. 1981

D L Clarke-Pearson, and W T Creasman

The accurate diagnosis of deep venous thrombosis is fundamental in reducing the morbidity and mortality from thromboembolism in obstetrics and gynecology. This is the first report of the use of a noninvasive diagnostic technique, occlusive cuff impedance phlebography (IPG), on an obstetric and gynecologic service. One hundred sixteen patients were examined by IPG with an overall diagnostic accuracy of 95.6% (sensitivity, 87.5%; specificity, 93.8%). Ninety-one patients had symptoms suggestive of deep venous thrombosis, but this diagnosis was confirmed in only 26.3%. The use of IPG to screen high-risk patients prospectively and evaluate patients with pulmonary emboli is discussed. IPG is ideally suited as a diagnostic method in obstetrics and gynecology because it is accurate, noninvasive, and nonradiologic, and it may be performed at the patient's bedside.

UI MeSH Term Description Entries
D007866 Leg The inferior part of the lower extremity between the KNEE and the ANKLE. Legs
D008209 Lymphedema Edema due to obstruction of lymph vessels or disorders of the lymph nodes. Milroy's Disease,Congenital Familial Lymphedema,Congenital Hereditary Lymphedema,Early Onset Lymphedema,Hereditary Lymphedema,Hereditary Lymphedema 1,Hereditary Lymphedema Type I,Lymphedema, Early-Onset,Lymphedema, Hereditary, Ia,Milroy Disease,Nonne-Milroy Disease,Nonne-Milroy Lymphedema,Nonne-Milroy-Meige Disease,Primary Congenital Lymphedema,Congenital Hereditary Lymphedemas,Congenital Lymphedema, Primary,Congenital Lymphedemas, Primary,Early Onset Lymphedemas,Early-Onset Lymphedema,Early-Onset Lymphedemas,Hereditary Lymphedema 1s,Hereditary Lymphedema, Congenital,Hereditary Lymphedemas,Hereditary Lymphedemas, Congenital,Lymphedema, Congenital Hereditary,Lymphedema, Early Onset,Lymphedema, Hereditary,Lymphedema, Nonne-Milroy,Lymphedema, Primary Congenital,Lymphedemas,Lymphedemas, Congenital Hereditary,Lymphedemas, Early Onset,Lymphedemas, Early-Onset,Lymphedemas, Hereditary,Lymphedemas, Primary Congenital,Milroys Disease,Nonne Milroy Disease,Nonne Milroy Lymphedema,Nonne Milroy Meige Disease,Primary Congenital Lymphedemas
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009775 Obstetrics and Gynecology Department, Hospital Hospital department responsible for the administration and management of services provided for obstetric and gynecologic patients. Hospital Obstetrics and Gynecology Department,Obstetrics Department,Obstetrics Department Hospital,Obstetrics, Gynecology Department, Hospital,Department, Obstetrics,Departments, Obstetrics,Obstetrics Departments
D010690 Phlebography Radiographic visualization or recording of a vein after the injection of contrast medium. Venography,Phlebographies,Venographies
D011446 Prospective Studies Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group. Prospective Study,Studies, Prospective,Study, Prospective
D011655 Pulmonary Embolism Blocking of the PULMONARY ARTERY or one of its branches by an EMBOLUS. Pulmonary Thromboembolism,Thromboembolism, Pulmonary,Embolism, Pulmonary,Embolisms, Pulmonary,Pulmonary Embolisms,Pulmonary Thromboembolisms,Thromboembolisms, Pulmonary
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths

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