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Abdominal examination of dilated veins : "Milking test" for abdominal veins #venousdrainage #circulatorysystem #liverfailure #caputmedusae Assessing direction of blood flow of a dilated anterior abdominal veins aka Milking of veins : procedure explained, learn to differentiate the cause for dilated veins. Procedure : To determine the direction of blood flow in a vein, the vein (free from branches) for a distance of 3 cm is identified. 2 fingers are pressed close together and placed over the middle of the venous segment. both fingers are moved in the opposite direction, “milking” and emptying the underlying vein Finally, 1 of the fingers is released, and the speed of the filling of the vein in one direction can be observed, and then the procedure is repeated in the other direction. Significance: In the early phases of venous distension, this difference in flow rate will be clear. As, the valves of the vein become incompetent(chronic cases) , and then the differences in flow rate will be less distinct. 🎵 Song: 'Sappheiros - Embrace' is under a creative commons license license. https://www.youtube.com/channel/UCxLK... 🎶 Music promoted by BreakingCopyright: • 🍀 Chill Instrumental [Non Copyrighted Musi... #medschool #cirrhosis #hepatology #liverfailure #caputmedussae