Allen Test Flashcards

1
Q

to evaluate patency of

A

palmar arch

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2
Q

asses for adequate perfusion to the hand if

A

radial a harvested or used for dialysis access

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3
Q

with manual compression of _____, pt clenches ipsilateral fist inducing pallow, while at the same time increasing resistance

A

radial a

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4
Q

with manual compression of the radial a continuing, pt is asked to relax

A

hand

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5
Q

modified version: PPG on index finger before and during manual compression of

A

radial a

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6
Q

normal

A

reappearance of the normal color to indicate the ulnar a is providing flow to the palmar arch
PPG documents pulsations during compression

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7
Q

Abnormal

A

color doesn;t reppear to indicat: an ulnar a occlusion or palmar arch obstruction
PPG documents loss of pulsations during compression

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8
Q

excessive dorsiflexion of wrist may compress radial and ulnar a leading to

A

false positive test

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9
Q

if hand is opened fingers forcibly extended, the skin over palm can be

A

stretched

could lead to pallor due to compression of small vessels

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10
Q

use PPG on index finger to document a pulsations before and after

A

clenched fist or during manual compression

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11
Q

although more difficult to compress, the ulnar a can be evaluated similarly to asses

A

radial a flow

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12
Q

15-20 mmHg difference from one brachial pressure to the other suggest a > 50% stenosis of

A

subclavian a and vessel under cuff

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13
Q

< 15-20 mmHg drop from upper arm to forearm suggest

A

brachial a obstruction distal to upper cuff
obstruction in single forearm a which has decreased presure
obstruction in both radial and ulnar a

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14
Q

difference of > 20 mmHg between radial and ulnar pressure suggest obstruction in vessels with lower

A

P

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