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Because clinical signs and symptoms are unreliable the diagnosis of deep vein thrombosis (DVT) should be objectified. Advantages and disadvantages of contrast venography, plethysmography, ultrasound techniques, fibrinogen leg scanning, computer-assisted tomography, magnetic resonance imaging and blood tests are discussed. In patients with a first event of suspected DVT non-invasive methods like serial plethysmography or ultrasound testing are sensitive and specific enough to make a treatment decision. It is safe to withhold anticoagulants if the test remains normal within 1 week. In patients with suspected recurrent DVT new non-invasive techniques are being tested, but up to now the definitive objective diagnostic test continues to be contrast venography. In first period as well as in recurrent DVT D-Dimer testing could be an additional test to exclude active thromboembolism.
M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
January 1992,
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M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
December 1969,
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M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
August 1990,
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M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
January 1996,
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M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
January 1990,
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M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
June 1975,
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M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
November 1984,
Lancet (London, England),
M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
December 1984,
Lancet (London, England),
M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
October 2006,
Seminars in thrombosis and hemostasis,
M C Janssen, and
H Wollersheim, and
I R Nováková, and
F M Heystraten, and
W N van Asten, and
T Thien
March 1996,
Canadian family physician Medecin de famille canadien,
