KathyLee Santangelo, MD
We call it venous duplex
1) At autopsy by a medical examiner as an incidental finding or actual cause of death.
2) By signs and symptoms at home (leg pain, swelling, discoloration).
3) By sudden chest pain and shortness of breath, from pulmonary embolism (clots swimming from the legs to the lungs).
4) By sudden abdominal pain from thrombosis of the veins in the abdomen.
5) Confirmation of DVT by Duplex ultrasounds - the workhorse for DVT evolution! Limited in pelvis, chests, and abdomen!
IPG... older not used much
CT - venous study - Head, chest & abdomen
MRV - all areas of the body!
Subclinical DVT might be diagnosed incidentally during exams for other problems! A family history of DVT does not warrant prophylaxis unless put into a situation that promotes DVT.
Your doctor can best evaluate and advise for these risks.
Irwin M. Best, MD, MBA,FACS