A member asked:

What labs should i order to r/o dvt, in addition to ordering right leg doppler? rll edema, no other sx, post flight(pt has f/u apt with pcp tomorrow)

29 doctors weighed in across 6 answers
Dr. Randee Lipman answered

Specializes in Internal Medicine - Cardiology

Dvt: No labs just the doppler unless you suspect pe too. CBC if you suspect cellulitis.

Answered 10/9/2017

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Dvt: The only lab test that may be helpful is a d dimer test. If it is negative it is unlikely to have dvt. If positive it is not specific for dvt.

Answered 11/27/2017

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Dr. Reid Blackwelder answered

Specializes in Family Medicine

Maybe D-Dimer: In addition, using a clinical tool like the wells criteria can help determine the likelihood of a DVT given various factors.

Answered 10/6/2017

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DVT: D-dimer can be used, but it is not diagnostic. Ultrasound is definitely recommended. In new onset dvt/pe it is also reasonable to check labs for hypercoagulability, including factor 5 leiden, among many others.

Answered 9/3/2017

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DD: I would disagree with Dr Brauer. High sensitivity Dd assays have high NPV and can safely R/O disease in low risk patients in conjunction with a validated VTE clinical prediction rule such as the Wells prediction rule. Thrombophilia testing, especially in the acute phase of VTE, has no role except age and gender appropriate cancer screening and possible anti phospholipid syndrome

Answered 9/23/2017

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Dx of dvt: order D- dimer, to see if it is elevated. An elevated level suggests thrombosis

Answered 10/9/2017

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