Oct 22, 2009

Well’s Criteria for Deep Venous Thrombosis

VARIABLES

POINTS

Cancer (receiving treatment, treated in the past six months, or palliative care

1

Paralysis, paresis, or recent plaster immobilization of the lower extremities

1

Recently bedridden for three days or more, or major surgery within the previous 12 weeks requiring general or regional anesthesia

1

Localized tenderness along the distribution of the deep venous system

1

Entire leg swollen

1

Calf swelling at least 3 cm larger than that on the asymptomatic side (measured 10 cm below tibial tuberosity)

1

Pitting edema confined to the symptomatic leg

1

Collateral superficial veins (non-varicose)

1

Previously documented DVT

1

Alternative diagnosis at least as likely as DVT

Minus 2

</= 1 points: Clinical probability of DVT unlikely
> 1 points: Clinical probability of DVT likely

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