Page 33 - Virtual Vascular Vol 2 Sep 2020-f
P. 33

Tourniquet Test                                                                Hypercoagulability




















                                                                            Endothelial                   Stasis

                                                                            dysfunction




                                                                               Virchow’s triad
















                                                                               Risk factors:

                                                                               Malignancy
                                                                               Recent surgery with
                                                                               immobilization



                                                                               Differential diagnosis:
                                                                               Lymphoedema



                                                                               Investigation:
                                                                               Ultrasound






                                                                 Deep Vein Thrombosis




 A TOURNIQUET placed just below the sapheno-femoral junction can be a good clinical sign
 to show control of the reflux at the junction in patients with varicose veins.  The video shows   62 year old with recent wide local excision of malignant skin carcinoma with groin
 the rapid filling of the patient’s varicose veins (Greater saphenous system) upon release of   lymph node dissection.  Day 2 post op had swelling of right lower limb up to thigh.
 the tourniquet, most visible on the medial side of the left knee.


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