[M2] Capillary Fragility Test Flashcards

1
Q

Capillary Fragility Test is also called as ________

A

tourniquet test

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2
Q

_____ is a clinical diagnostic method used to assess the fragility of the capillary walls.

A

Capillary Fragility

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3
Q

Capillary Fragility test is a clinical diagnostic method used to assess the fragility of the _____________

A

capillary walls.

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4
Q

The capillary fragility test measures platelet’s ability to maintain __________

A

capillary integrity.

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5
Q

The degree of _______ will correlate with the test, as with the ______________.

A

thrombocytopenia
bleeding time

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6
Q

In normal patients, ___________ petechiae are formed during this test.

A

none to very few

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7
Q

A positive test will be found in:

A

Thrombocytopenia
↓ fibrinogen
Vascular purpura

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8
Q

The capillary or __________ can be done using the following methods:

A

resistance test

  1. Rumpel-Leede/Hess test positive pressure technique/Tourniquet test
  2. Suction Cup/ Petechiometer Method/ Negative Pressure Technique
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9
Q

TOURNIQUET TEST

Principle
Appearance of few ______ after the test indicates a (positive/negative) test which indicates weakness of the ________ or ________________ and __________.

A

petechiae
positive
capillary walls
capillary permeability and fragility

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10
Q

Materials used in Tourniquet test

A

Sphygmomanometer
Timer

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11
Q

PROCEDURE

  1. Mark a definite area (_____ in a diameter) on the _______. The upper edge which is _____ ____ the bend of the ____.
A

5cm
forearm
4cm
below
elbow.

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12
Q

Procedure

  1. Count the ______ (a minute, rounded spot of _______ on the skin) already present in this area
A

petechiae
hemorrhage

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13
Q

Procedure

  1. Place a blood pressure cuff on the arm and raise the pressure to _______ of mercury and leave it for ___________.
A

80 mmHg
8 minutes.

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14
Q

Procedure

  1. Remove the cuff, and after _________, count the number of petechiae in the __________.
A

5 minutes
marked area

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15
Q

Procedure

  1. Normally, there should be no more than ____ at most, ____ petechiae
A

10
20

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16
Q

Manner of reporting

Grade 1+ petechiae

A

1-10

17
Q

Manner of reporting

Grade 2+ petechiae

A

11-20

18
Q

Manner of reporting

Grade 3+ petechiae

A

21-50

18
Q

Manner of reporting

Grade 3+ petechiae

A

21-50

19
Q

Manner of reporting

Grade 4+ petechiae

A

50 and above

20
Q

Reference range for Tourniquet test

A

1-10 petechiae

21
Q

What is the other method for Capillary Fragility Test

A

SUCTION CUP TECHNIQUE

22
Q

SUCTION CUP TECHNIQUE

Principle:
Employs the use of a _________. The cup is applied to the (outer/inner) surface of the arm for a period of ______ at ________ and the ________ of the capillaries is expressed as the (positive/negative) pressure required to produce a __________________.

A

suction cup
outer
one minute
200 mmHg
resistance
negative
macroscopic petechiae

23
Q

Normal value in Suction Cup Technique

A

<4 Petechiae

24
Q

Clinical Significance of Capillary Fragility Test

A

↑ in Purpura
Dengue Fever
Scurvy