[Alternative sonographic diagnoses in patients with clinical suspicion of deep vein thrombosis].
Identifieur interne : 002898 ( PubMed/Curation ); précédent : 002897; suivant : 002899[Alternative sonographic diagnoses in patients with clinical suspicion of deep vein thrombosis].
Auteurs : Bettina-Maria Taute [Allemagne] ; Hannes Melnyk ; Hubert PodhaiskySource :
- Medizinische Klinik (Munich, Germany : 1983) [ 1615-6722 ] ; 2010.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Diagnostic différentiel, Facteurs de risque, Femelle, Hospitalisation, Humains, Jambe (imagerie diagnostique), Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Mâle, Sensibilité et spécificité, Thrombose veineuse (imagerie diagnostique), Échographie, Études rétrospectives.
- MESH :
- imagerie diagnostique : Jambe, Lymphoedème, Thrombose veineuse.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Diagnostic différentiel, Facteurs de risque, Femelle, Hospitalisation, Humains, Mâle, Sensibilité et spécificité, Échographie, Études rétrospectives.
English descriptors
- KwdEn :
- MESH :
- diagnostic imaging : Leg, Lymphedema, Venous Thrombosis.
- etiology : Lymphedema.
- Diagnosis, Differential, Female, Hospitalization, Humans, Male, Middle Aged, Retrospective Studies, Risk Factors, Sensitivity and Specificity, Ultrasonography.
Abstract
Unclear extremity complaints are common symptoms of inpatients. In a subset of these patients, a clinical suspicion of deep vein thrombosis (DVT) results; this needs to be quickly and definitively clarified by a vascular physician. The question arose of how often a clinical suspicion of DVT was confirmed in an inpatient population and which alternative diagnoses were able to be made by angiologists.
DOI: 10.1007/s00063-010-1101-z
PubMed: 20878299
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pubmed:20878299Le document en format XML
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<author><name sortKey="Taute, Bettina Maria" sort="Taute, Bettina Maria" uniqKey="Taute B" first="Bettina-Maria" last="Taute">Bettina-Maria Taute</name>
<affiliation wicri:level="1"><nlm:affiliation>Universitätsklinik und Poliklinik für Innere Medizin III, Schwerpunkt Angiologie, Universitätsklinikum der Martin-Luther-Universität Halle-Wittenberg, Germany. bettina.taute@medizin.uni-halle.de</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Universitätsklinik und Poliklinik für Innere Medizin III, Schwerpunkt Angiologie, Universitätsklinikum der Martin-Luther-Universität Halle-Wittenberg</wicri:regionArea>
</affiliation>
</author>
<author><name sortKey="Melnyk, Hannes" sort="Melnyk, Hannes" uniqKey="Melnyk H" first="Hannes" last="Melnyk">Hannes Melnyk</name>
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<author><name sortKey="Podhaisky, Hubert" sort="Podhaisky, Hubert" uniqKey="Podhaisky H" first="Hubert" last="Podhaisky">Hubert Podhaisky</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">[Alternative sonographic diagnoses in patients with clinical suspicion of deep vein thrombosis].</title>
<author><name sortKey="Taute, Bettina Maria" sort="Taute, Bettina Maria" uniqKey="Taute B" first="Bettina-Maria" last="Taute">Bettina-Maria Taute</name>
<affiliation wicri:level="1"><nlm:affiliation>Universitätsklinik und Poliklinik für Innere Medizin III, Schwerpunkt Angiologie, Universitätsklinikum der Martin-Luther-Universität Halle-Wittenberg, Germany. bettina.taute@medizin.uni-halle.de</nlm:affiliation>
<country xml:lang="fr">Allemagne</country>
<wicri:regionArea>Universitätsklinik und Poliklinik für Innere Medizin III, Schwerpunkt Angiologie, Universitätsklinikum der Martin-Luther-Universität Halle-Wittenberg</wicri:regionArea>
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<author><name sortKey="Melnyk, Hannes" sort="Melnyk, Hannes" uniqKey="Melnyk H" first="Hannes" last="Melnyk">Hannes Melnyk</name>
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<author><name sortKey="Podhaisky, Hubert" sort="Podhaisky, Hubert" uniqKey="Podhaisky H" first="Hubert" last="Podhaisky">Hubert Podhaisky</name>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Diagnosis, Differential</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Leg (diagnostic imaging)</term>
<term>Lymphedema (diagnostic imaging)</term>
<term>Lymphedema (etiology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Sensitivity and Specificity</term>
<term>Ultrasonography</term>
<term>Venous Thrombosis (diagnostic imaging)</term>
</keywords>
<keywords scheme="KwdFr" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Diagnostic différentiel</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Jambe (imagerie diagnostique)</term>
<term>Lymphoedème (imagerie diagnostique)</term>
<term>Lymphoedème (étiologie)</term>
<term>Mâle</term>
<term>Sensibilité et spécificité</term>
<term>Thrombose veineuse (imagerie diagnostique)</term>
<term>Échographie</term>
<term>Études rétrospectives</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnostic imaging" xml:lang="en"><term>Leg</term>
<term>Lymphedema</term>
<term>Venous Thrombosis</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Lymphedema</term>
</keywords>
<keywords scheme="MESH" qualifier="imagerie diagnostique" xml:lang="fr"><term>Jambe</term>
<term>Lymphoedème</term>
<term>Thrombose veineuse</term>
</keywords>
<keywords scheme="MESH" qualifier="étiologie" xml:lang="fr"><term>Lymphoedème</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Diagnosis, Differential</term>
<term>Female</term>
<term>Hospitalization</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Retrospective Studies</term>
<term>Risk Factors</term>
<term>Sensitivity and Specificity</term>
<term>Ultrasonography</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Adulte d'âge moyen</term>
<term>Diagnostic différentiel</term>
<term>Facteurs de risque</term>
<term>Femelle</term>
<term>Hospitalisation</term>
<term>Humains</term>
<term>Mâle</term>
<term>Sensibilité et spécificité</term>
<term>Échographie</term>
<term>Études rétrospectives</term>
</keywords>
</textClass>
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<front><div type="abstract" xml:lang="en">Unclear extremity complaints are common symptoms of inpatients. In a subset of these patients, a clinical suspicion of deep vein thrombosis (DVT) results; this needs to be quickly and definitively clarified by a vascular physician. The question arose of how often a clinical suspicion of DVT was confirmed in an inpatient population and which alternative diagnoses were able to be made by angiologists.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">20878299</PMID>
<DateCreated><Year>2010</Year>
<Month>09</Month>
<Day>29</Day>
</DateCreated>
<DateCompleted><Year>2011</Year>
<Month>03</Month>
<Day>22</Day>
</DateCompleted>
<DateRevised><Year>2016</Year>
<Month>11</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1615-6722</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>105</Volume>
<Issue>9</Issue>
<PubDate><Year>2010</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>Medizinische Klinik (Munich, Germany : 1983)</Title>
<ISOAbbreviation>Med. Klin. (Munich)</ISOAbbreviation>
</Journal>
<ArticleTitle>[Alternative sonographic diagnoses in patients with clinical suspicion of deep vein thrombosis].</ArticleTitle>
<Pagination><MedlinePgn>619-26</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1007/s00063-010-1101-z</ELocationID>
<Abstract><AbstractText Label="BACKGROUND AND PURPOSE" NlmCategory="OBJECTIVE">Unclear extremity complaints are common symptoms of inpatients. In a subset of these patients, a clinical suspicion of deep vein thrombosis (DVT) results; this needs to be quickly and definitively clarified by a vascular physician. The question arose of how often a clinical suspicion of DVT was confirmed in an inpatient population and which alternative diagnoses were able to be made by angiologists.</AbstractText>
<AbstractText Label="PATIENTS AND METHODS" NlmCategory="METHODS">In a retrospective analysis, all inpatients in the Angiologic Vascular Diagnostics Center of the University Hospital Halle, Germany, examined in 2007 for a suspicion of DVT were evaluated with respect to the definitively made diagnosis.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">In 213 (28.6%) of 745 suspected cases of DVT, a DVT was confirmed. In 532 patients (71.4%), DVT was excluded. In 314 of these patients, 436 alternative diagnoses were recorded in the diagnostic reports of angiologic examinations. In 38.6% (n = 168), other venous causes could be confirmed as the most common alternative diagnosis. There were chronic venous diseases in 28% (n = 122), superficial thrombophlebitis (n = 27), and tumor-related pelvic vein compression (n = 19). 17.4% (n = 76) exhibited lymphedema. In 13.3% (n = 58), a generalized edema was diagnosed. Arthrogenic causes followed with 12.8% (n = 56). Lipedema (5.3%) and hematoma (5%) could be verified as other important differential diagnoses. Rare causes were symptomatic or ruptured Baker's cysts (2.5%), erysipelas (2.5%), abscess, aneurysm, muscle tears, and tumors.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">The variety of alternative diagnoses in patients with clinical suspicion of DVT is high. The knowledge and systematic examination of potential, even rare differential diagnoses after exclusion of DVT are part of the repertoire of the vascular physician. Unnecessary and expensive, as well as onerous, diagnostic procedures on the patient can be avoided. Anticoagulation that was begun as a result of the suspicion of DVT can quickly be stopped.</AbstractText>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Taute</LastName>
<ForeName>Bettina-Maria</ForeName>
<Initials>BM</Initials>
<AffiliationInfo><Affiliation>Universitätsklinik und Poliklinik für Innere Medizin III, Schwerpunkt Angiologie, Universitätsklinikum der Martin-Luther-Universität Halle-Wittenberg, Germany. bettina.taute@medizin.uni-halle.de</Affiliation>
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<Author ValidYN="Y"><LastName>Podhaisky</LastName>
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<VernacularTitle>Alternative sonographische Diagnosen bei klinischem Thromboseverdacht.</VernacularTitle>
<ArticleDate DateType="Electronic"><Year>2010</Year>
<Month>09</Month>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D003937" MajorTopicYN="N">Diagnosis, Differential</DescriptorName>
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<MeshHeading><DescriptorName UI="D007866" MajorTopicYN="N">Leg</DescriptorName>
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<MeshHeading><DescriptorName UI="D008209" MajorTopicYN="N">Lymphedema</DescriptorName>
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<MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName>
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<MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName>
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<MeshHeading><DescriptorName UI="D012680" MajorTopicYN="N">Sensitivity and Specificity</DescriptorName>
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<MeshHeading><DescriptorName UI="D014463" MajorTopicYN="N">Ultrasonography</DescriptorName>
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<MeshHeading><DescriptorName UI="D020246" MajorTopicYN="N">Venous Thrombosis</DescriptorName>
<QualifierName UI="Q000000981" MajorTopicYN="Y">diagnostic imaging</QualifierName>
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