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The Pratt Test is a simple test to check for deep vein thrombosis in the leg. [1] [2] It involves having the patient lie supine with the leg bent at the knee, grasping the calf with both hands and pressing on the popliteal vein in the proximal calf. If the patient feels pain, it is a sign that a deep vein thrombosis exists. [citation needed]
A fibrinogen uptake test is a test that was formerly used to detect deep vein thrombosis. Radioactive labeled fibrinogen is given which is incorporated in the thrombus. The thrombus can then be detected by scintigraphy. [1] [2] Iodine 125-labeled fibrinogen scanning is a very sensitive method for detecting subclinical leg vein thrombi.
Deep vein thrombosis (DVT) is a type of venous thrombosis involving the formation of a blood clot in a deep vein, most commonly in the legs or pelvis. [9] [a] A minority of DVTs occur in the arms. [11] Symptoms can include pain, swelling, redness, and enlarged veins in the affected area, but some DVTs have no symptoms. [1]
Animation showing the formation of an occlusive blood clot in a vein. Several platelets attach to the lips of the valve, narrowing the opening and causing more platelets and red blood cells to pool and clot. Clotting of immobile blood on both sides of the blockage can cause the clot to spread in both directions.
An elevated D-dimer in the elderly population has no predictive value for deep venous thrombosis. Signs and symptoms of DVT in general are not sufficiently sensitive or specific to make a diagnosis, being helpful only to help determine the likelihood of a DVT (with the use of a clinical prediction rule such as the Wells score). [5]
Pratt's sign is an indication of femoral deep vein thrombosis. It is seen as the presence of dilated pretibial veins in the affected leg, which remain dilated on raising the leg. The sign was described by American surgeon Gerald H. Pratt (1928–2006) of St. Vincent's Hospital in 1949. [1] [2]
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