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  • Title: [Instrumental and phlebography diagnosis of deep venous leg and pelvic vein thrombosis].
    Author: Hach W, Sternkopf M, Ott H.
    Journal: Wien Med Wochenschr; 1989 Dec 15; 139(23):543-50. PubMed ID: 2696213.
    Abstract:
    Since plethysmography was introduced as the earliest screening method of peripheral veins there was a constant improvement of apparatus and methods. Presently the color-coded Duplex sonography gives results more detailed than any other screening test and is comparable with the accuracy of phlebography. Nevertheless, since the introduction by Mahler of the "climbing pulse rate" as the best known clinical sign of thrombosis a fundamental problem still waits for the solution: diagnosis of the very beginning of thrombosis. Only when the initial symptoms of the disease are correctly interpreted the best suitable diagnostic methods can be carried out stepwise. A wrong interpretation of the patient's complaints still causes serious retardations of the induction of an adequate therapy.
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