Journal article
Diagnostic Considerations of Venous Thromboembolic Disease
Critical care nursing quarterly, v 40(3), pp 210-218
Jul 2017
PMID: 28557892
Abstract
Venous thromboembolism (VTE) includes deep venous thrombosis (DVT) and pulmonary embolism (PE). The clinical presentation of VTE is nonspecific and requires confirmatory testing. The most common diagnostic tool for DVT is duplex ultrasonography since it is a noninvasive test with high accuracy. Contrast venography is considered the gold standard modality to diagnose DVT, but it is an invasive test. Magnetic resonance venography and computed tomography venography are alternative diagnostic methods for DVT, which can be helpful in certain circumstances. Pulmonary embolism is commonly diagnosed by computed tomography pulmonary angiography. Ventilation perfusion scanning is an alternative imaging to diagnose PE in patients who cannot receive intravenous contrast. Pulmonary angiography is still the gold standard in the diagnosis of PE and is usually needed in specific conditions. D-dimer assay can be utilized in ruling VTE out in low-risk patients. Estimating the pretest clinical probability for having VTE is the key step in guiding the clinicians and nurses to the appropriate diagnostic method for patients with suspected DVT or PE.
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Details
- Title
- Diagnostic Considerations of Venous Thromboembolic Disease
- Creators
- Sulaiman Alhassan - Allegheny General HospitalJennifer Leap - Allegheny General HospitalAnand Popuri - Allegheny General HospitalSuman Yadam - Allegheny General HospitalAnil Singh - Allegheny General HospitalMarvin Balaan - Allegheny General Hospital
- Publication Details
- Critical care nursing quarterly, v 40(3), pp 210-218
- Publisher
- Lippincott Williams & Wilkins
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- General Internal Medicine
- Scopus ID
- 2-s2.0-85020677986
- Other Identifier
- 991022083949104721