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  • Suspected Upper Extremity DVT: Vi.2.2. Likely Pretest Probability (Prevalensi 40%)

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    Nur Ismi Mustika Febriani
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    The document outlines diagnostic algorithms for evaluating patients with suspected upper or lower extremity deep vein thrombosis (DVT) based on pretest probability (PTP). It describes different clinical probability thresholds and the sequence of D-dimer testing, ultrasound imaging, and serial ultrasounds based on the pretest probability being low, intermediate, likely, high, recurrent or unlikely. The goal is to diagnose or rule out upper or lower extremity DVT using a standardized diagnostic pathway tailored to the individual patient's pretest probability.

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    The document outlines diagnostic algorithms for evaluating patients with suspected upper or lower extremity deep vein thrombosis (DVT) based on pretest probability (PTP). It describes different clinical probability thresholds and the sequence of D-dimer testing, ultrasound imaging, and serial ultrasounds based on the pretest probability being low, intermediate, likely, high, recurrent or unlikely. The goal is to diagnose or rule out upper or lower extremity DVT using a standardized diagnostic pathway tailored to the individual patient's pretest probability.

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    © All Rights Reserved
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    21 views6 pages

    Suspected Upper Extremity DVT: Vi.2.2. Likely Pretest Probability (Prevalensi 40%)

    Uploaded by

    Nur Ismi Mustika Febriani
    The document outlines diagnostic algorithms for evaluating patients with suspected upper or lower extremity deep vein thrombosis (DVT) based on pretest probability (PTP). It describes different clinical probability thresholds and the sequence of D-dimer testing, ultrasound imaging, and serial ultrasounds based on the pretest probability being low, intermediate, likely, high, recurrent or unlikely. The goal is to diagnose or rule out upper or lower extremity DVT using a standardized diagnostic pathway tailored to the individual patient's pretest probability.

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    of 6

    VI.2.2.

    Likely PreTest Probability (prevalensi 40%)

    Suspected Upper
    Extremity DVT

    CDR

    Non- high Clinical Likely Clinical


    PTP PTP

    D-Dimer ***

    Negative Positive

    Duplex US/

    Serial Duplex US

    Negative Positive

    UE DVT
    No UE DVT

    Tabel 3.
    VI.2.1. Unlikely PreTest Probability (Prevalensi 10%)

    Suspected Upper
    Extremity DVT*

    CDR

    Non-low Clinical Unlikely Clinical


    PTP** PTP

    D-Dimer *** D-Dimer Not


    Available

    Negative Positive

    Duplex US

    Negative Positive

    UE DVT
    No UE DVT
    VI.1.4. Recurrent DVT

    Suspected Recurrent
    Lower Extremity DVT

    CDR

    Likely Clinical Unlikely Clinical


    PTP PTP

    D-Dimer ***

    Positive Negative

    Proximal US/

    Whole leg US

    Positive Negative

    Recurrent LE No Recurrent
    DVT LE DVT
    VI.1.3. High Pretest Probability (Prevalensi ≥ 50%)

    Suspected Lower
    Extremity DVT

    CDR

    Non-High High Clinical


    Clinical PTP PTP

    Proximal US/

    Whole leg US

    Serial US Negative Positive

    Negative Positive

    No LE DVT LE DVT
    VI.1.2. Intermediate Pretest Probability (Prevalensi ≤ 20%)

    Suspected Lower
    Extremity DVT

    CDR

    Low or High Intermediate


    Clinical PTP Clinical PTP

    D-Dimer *** Positive Proximal US/

    Whole leg US

    Negative Positive

    Serial US

    Negative Positive

    No LE DVT LE DVT
    VI.1.1. Low Pretest Probability (PTP) (Prevalensi ≤ 5%)

    Suspected Lower
    Extremity DVT*

    CDR

    Non-low Clinical Low Clinical


    PTP** PTP

    D-Dimer ***
    D-Dimer Not
    Available

    Negative Positive

    Proximal US/
    Whole leg US

    Negative Positive

    No LE DVT LE DVT

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