Review Note
Last Update: 09/08/2024 08:40 PM
Current Deck: unit 3::PC::peripheral vascular system
PublishedCurrently Published Content
Text
{{c4::Trendelenburg}} test: evaluates competency of {{c1::communicating veins}} and {{c1::saphenous system}}
the test evaluates two different points of filling. if the first point of filling is rapid it is a positive test for {{c2::incompetent communicating valves}}. if there is a sudden additional rapid filling, it is a positive test for {{c2::damaged saphenous valves}}. a normal response would be continued {{c3::SLOW}} filling about 35 seconds total. possible results are positive-positive, positive-neg, and neg-neg
Extra
- While supine, elevate leg to 90 degrees (drains blood)
- Occlude great saphenous being (tourniquet or large BP cuff)
- With vein still occluded, have patient stand up
- Rapid filling = :positive test, incompetent communicating valves (valves cannot hold blood back)
- Release saphenous occlusion at 20 seconds
- Sudden additional rapid filling = positive test, damaged saphenous valves
- Normal response = continued slow filling, 35 seconds total
- Possible results: positive-positive, positive-negative, negative-negative
Lecture Notes
Missed Questions
Pathoma
Boards and Beyond
First Aid
Sketchy
Pixorize
Physeo
OME
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