False about Deep Vein thrombosis is
Correct Answer: Clinical Evaluation is most reliable
Description: Deep Vein thrombosis:- * MC presentation of DVT is Pain and swelling especially in calf. * Usually involves one leg only (Bilateral can happen in 30%) * Some patients with no symptoms of DVT can present 1st time with signs of Pulmonary embolism Eg.Chest pain, Hemoptysis, Shoness of Breath. * Clinical Examination is unreliable. Physical signs may also be absent. * Leg pain occurs in 50% and non-specific. * Pain and tenderness associated with DVT does not usually correlate with size, Location or Extent of the thrombus. * Clinical signs and Symptoms of Pulmonary Embolus occur in about 10% of patients with Confirmed DVT * The probability of developing Pulmonary embolus is given by a criteria known as &;Modified wells criteria&;. Ref:- Bailey and Love 27th Edition; Pg num:- 987,988 Ref:- Bailey and Love 27th Edition; Pg num:- 987, 988
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