TEALE FENNING

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

Signs in DVT --

1. Homan's test: Dorsiflexion of foot elicits pain in posterior calf. it is of little diagnostic value and loose clots can then lodge themselves.

2. Pratt's sign: Squeezing of posterior calf elicits pain.

3. Pain, Swelling, Redness and dilation of superficial veins.
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region

rpwalavalkar · Teale Fenning Administrator Joined: 20 Jul 2006 Posts: 966

Probability of DVT scoring --

Scarveli - Wells score or criteria:
(Possible score -2 to 9)

1) Active cancer (treatment within last 6 months or palliative) -- 1 point

2) Calf swelling >3 cm compared to other calf (measured 10 cm below tibial tuberosity) -- 1 point

3) Collateral superficial veins (non-varicose) -- 1 point

4) Pitting edema (confined to symptomatic leg) -- 1 point

5) Swelling of entire leg - 1 point

6) Localized pain along distribution of deep venous system -- 1 point

7) Paralysis, paresis, or recent cast immobilization of lower extremities -- 1 point

8.) Recently bedridden > 3 days, or major surgery requiring regional or general anesthetic in past 12 weeks -- 1 point

9) Previously documented DVT -- 1 point

10) Alternative diagnosis at least as likely -- Subtract 2 points

Score of 2 or higher - deep vein thrombosis is likely.
Score of less than 2 - deep vein thrombosis is unlikely.
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region