What is a DVT Physical Exam?
DVT physical exams are done by practitioners to assess if the patient’s exhibited symptoms are caused by deep vein thrombosis. These physical exams and other assessments, such as the D-dimer test, ultrasound scan, and venogram, are needed before diagnosing deep vein thrombosis.
It’s important to note that only one of these tests, the Homan’s sign test, is explicitly used to determine if a patient has DVT, while the others are used to check if the patient has the symptoms of deep vein thrombosis.
Here’s a list of the DVT physical exams we’re referring to:
- Homan’s Sign test
- Trendelenberg Test
- Lowenberg Sign/Test
- Schwartz’s Test
- Perthes’ Test
If you’re a practitioner in charge of diagnosing DVT and think you’d benefit from having a template that compiles all of these tests and can serve as a guide, reference, and document to write down your patient’s results, we’ve got some good news for you. We’ve created a template just for you.
In our template, you can expect to find the following:
- Essential information like the examination date, patient’s name, and your name
- A list of physical symptoms you can check
- A list of all of the DVT physical exams mentioned above
- A dedicated space for your patient’s results and additional notes or findings
Check out this video to learn more about DVT Physical Exams:
How Does it Work?
Step One. Download the Template
Access and download our Printable DVT Physical Exam template by doing either of the following:
- Clicking the “Use this Template” or “Download Template” button above
- Searching for the “DVT Physical Exams” in Carepatron’s template library on our website or app
And just in case you need Trendelenburg Test, you can click here or search for the “Trendelenburg Test” in the template library.
Step Two. Conduct the Tests
Before conducting the tests, complete the required basic information: examination date, patient’s name, and your name. Afterward, you can proceed with testing.
We will leave it up to you and your expertise to decide which test to conduct and the testing order.
Step Three. Interpret and Record the Results
After you finish every test, you are encouraged to interpret the results - whether their reaction signifies a positive or negative test - and record it on the template. Feel free to include additional symptoms they present that are indicative of DVT and write down additional notes per physical exam.
Step Four. Proceed with Further Testing
As mentioned in the first section, practitioners diagnose DVT with physical exams alone. Hence, if the patient has the symptoms or tests positive in at least one of the physical tests, it’s best to have them undergo further testing.
DVT Physical Exam Example (sample)
Here’s an example of a filled-out template of a DVT Physical Exam in PDF form. Hopefully, this will give you an idea of how this assessment looks when completed.
For an offline copy you can use as a reference in the future, click the sample below or the “Download Example PDF” button above.
When Would You Use this Template?
Practitioners can use the DVT Physical Exam Template when the patient exhibits symptoms of DVT, or they have the risk factors of developing it.
For a list of the symptoms and risk factors, look below.
- An ache, pain, swelling, or tenderness in the affected leg’s calf or thigh, more specifically, the affected area
- Warm and red-colored skin around the area
- Red skin on the back of the patient’s leg, most of the time below the knee
- Stiff or sore swollen veins
- Those who are over 40 years of age, pregnant, or overweight/obese
- Those who are pregnant
- Those who have a history of DVT, blood clots, pulmonary embolism
- Those taking medications or have conditions that’ll make their blood clot easily, like blood vessel damage, cancer, thrombophilia, heart and lung disease, etc.
- Those who have been inactive for an extended period of time
Easy to Understand
Since our Free DVT Physical Exams template is simple and straightforward, it’s easy to understand and even easier to fill out when you need to record results after conducting the tests.
Even though there’s no standardized template, we’ve decided to make ours as comprehensive as possible by including a space where you can record the symptoms and physical tests that may help practitioners diagnose DVT or better see the symptoms.
Written Results for Future Reference
The benefit of having a template that compiles several DVT physical exams and lists the disease’s symptoms is that you don’t have to worry about forgetting the results or constantly being asked by practitioners caring for the same patient.
With our digital template, you and your fellow practitioners can easily find and download it across devices. Furthermore, if you save the document on Carepatron, you can limit viewing access to relevant parties only.
Research and Evidence
Little research or evidence proves that the physical exams mentioned above can be used to diagnose deep vein thrombosis. However, some studies state that specific physical assessments like the Homan’s sign and checking symptoms, in particular, are still helpful assessments a practitioner can use to diagnose DVT if they follow them up with additional tests. The studies that state them are as follows:
- According to Oudega, Moons, and Hoes (2005), patient history and physical examination can only do so much to check a patient's DVT probability. The two assessments must be followed up with “further diagnostic work-up.”
- According to Ambest, Obiagwu, and Shetty (2017), the Homa’s sign and a clinical exam can only be of value if accompanied by other tests such as ultrasonography and venography. However, practitioners still utilize Homan’s test “because of its easy technique and simple demonstrability.”
Why use Carepatron as your DVT Physical Exam app?
Aside from being an app where you can access and download the DVT Physical Exam template, Carepatron is a leading practice management software that doubles as an EHR and EMR. In fact, on Carepatron’s software, you can do more than edit your DVT Physical Exam. On it, you can:
- Download, edit, and create printable PDF templates for medical documents like forms, surveys, tests, and assessments.
- Store your client’s medical records and digital notes on our HIPAA-compliant and secure EHR system
- Integrate your calendar for easy scheduling and video conferencing solutions for telehealth consultations
- Set up and automate a payment system for your client
All of these and more are available to help you streamline processes and automate tasks that’ll give you a chance to direct most of your time, effort, and focus toward patient care.
So, grab the opportunity today by downloading Carepatron on your desktop or iOs/Android mobile devices for free and sign up on Carepatron today!
Ambesh, P., Obiagwu, C., & Shetty, V. (2017). Homan's sign for deep vein thrombosis: A grain of salt?. Indian heart journal, 69(3), 418–419. https://doi.org/10.1016/j.ihj.2017.01.013
Ruud Oudega and others, Limited value of patient history and physical examination in diagnosing deep vein thrombosis in primary care, Family Practice, Volume 22, Issue 1, February 2005, Pages 86–91, https://doi.org/10.1093/fampra/cmh718