Update in the diagnosis of @entity1150 and XXXX .

@entity1 @entity1151 @entity1150 @entity715 @entity1211
PURPOSE OF REVIEW: Diagnostic strategies for @entity1211 must both accurately diagnose @entity715 when present, and safely exclude it when absent. This review summarizes recent data on diagnostic strategies for @entity1211 . RECENT FINDINGS: Noninvasive diagnostic strategies have emerged to limit the need for invasive testing for @entity1150 and @entity1151 . D-Dimer testing combined with clinical assessment can be used to safely exclude @entity1150 , limiting the need for further testing. Extended lower limb ultrasonography also shows promise although requires further data. Spiral computed tomography has become widely used for the diagnosis of @entity1151 . Evidence either for the use of single-detector spiral computed tomography combined with ultrasound or for multidetector spiral computed tomography as a safe and stand-alone test, for the purpose of excluding @entity1151 , is finally catching up with current practice. SUMMARY: Invasive testing for @entity1211 can be safely avoided in the majority of @entity1 , using diagnostic strategies combining noninvasive tests. Initial evidence suggests that multidetector spiral computed tomography is a safe stand-alone test for @entity1151 . Local cost and expertise with separate diagnostic tests will influence the appropriate choice of diagnostic strategies for @entity1211 at individual institutions.
