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Fallibility of Clinical Symptoms and Signs

John J. Cranley, MD; Arthur J. Canos, MD; Won J. Sull, MD

Arch Surg. 1976;111(1):34-36.

Abstract
• One hundred twenty-four patients, with 133 involved extremities having the clinical diagnosis of deep venous thrombosis of the lower extremity, were studied by phleborheography and phlebography. Seventy-two limbs were proved to have deep venous thrombosis and 61 to have no evidence of thrombi in the deep veins. Classic symptoms of muscle pain and muscle tenderness, swelling, and the presence of a positive Homans sign obtained by dorsiflexion of the foot were found to occur with approximately equal frequency in those limbs with and without deep venous thrombosis.

(Arch Surg 111:34-36, 1976)

Author Affiliations
From the Kachelmacher Memorial Laboratory for Peripheral Venous Diseases, Good Samaritan Hospital, Cincinnati.

Footnotes
Accepted for publication Aug 11, 1975.

Reprint requests to Department of Medical Education, Good Samaritan Hospital, Cincinnati, OH 45220 (Dr Cranley).

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