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Allen's test
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==Method== ===Original test=== The original test proposed by Allen is performed as follows:<ref name="allenoriginal"/> # The patient is asked to clench both fists tightly for 1 minute at the same time. # Pressure is applied over the [[Radial artery|radial]] and [[Ulnar artery|ulnar arteries]] simultaneously so as to occlude them. # The patient then opens the fingers of both hands rapidly, and the examiner compares the colour of both. The initial [[pallor]] should be replaced quickly by [[rubor]]. # The test may be repeated, this time occluding the ulnar arteries. ===Modified test=== In the modified Allen test, one hand is examined at a time:<ref name=":0" /> # The patient is asked to clench their fist for about 30 seconds. # Pressure is applied over the ulnar and the radial arteries so as to occlude both of them. # Still elevated, the hand is then opened. It should appear blanched (pallor may be observed at the finger nails). # Ulnar pressure is released while radial pressure is maintained, and the colour should return within 5 to 15 seconds. If color returns as described, Allen's test is considered to be normal. If color fails to return, the test is considered abnormal and it suggests that the [[ulnar artery]] supply to the hand is not sufficient.<ref name=":0">{{Cite web|title = Modified Allen test|url = https://www.ncbi.nlm.nih.gov/books/NBK138652/|date = 2010-01-01|last1 = National Center for Biotechnology|agency = U. S. National Library of Medicine|publisher = World Health Organization}}</ref>
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