I would like to thank you all for your responses. When she comes back I will try the rapid cuff inflator and try examining her in reverse trendelenberg . Have a great day everyone!!. 

Sent from my iPhone

On Oct 23, 2012, at 12:09 PM, Steven Knight <[log in to unmask]> wrote:

> In my experience an individual with severe reflux doesn't need much of a slope to generate enough hydrostatic pressure to push blood backwards through a faulty valve. It just needs to have some place to go. Emptying the veins is essential to reducing the chance of a false negative.
> 
> ~S
> 
> -----Original Message-----
> From: UVM Flownet [mailto:[log in to unmask]] On Behalf Of Paul J Graham
> Sent: Tuesday, October 23, 2012 10:27 AM
> To: [log in to unmask]
> Subject: Re: eliciting venous reflux
> 
> Steve
> 
> I find that to be a good analogy and a very interesting thought. I think you may have something there, in cases of severe distension maybe we should have them lie in trendelenberg for a bit and try to minimize the venous pressure and then after a few minutes try to assess the insufficiency, If nothing else it makes a provocative argument. 
> 
> To unsubscribe or search other topics on UVM Flownet link to:
> http://list.uvm.edu/archives/uvmflownet.html

To unsubscribe or search other topics on UVM Flownet link to:
http://list.uvm.edu/archives/uvmflownet.html