Buerger's disease physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Physical Examination

Extremities

• 
  Thromboangiitis Obliterans (Buerger's disease): Arterial vascular disease associated with smoking. Note the blackened tips of middle and pinky fingers.
  (Image courtesy of Charlie Goldberg, M.D.)

• The Allen's test: The goal of this test is to check the function of your vessles. During the procedure, the patient is asked to make a tight fist. And, the doctor presses on the arteries at each side of the wrist. These two steps can decrease the flow of blood into the hands and make your hands lose color. Then, you are asked to open your hands and the doctor releases the pressure on one artery and another. The doctor will record the time for your hands to return to general appearance. Patients with Buerger's disease may slow blood flow into the hands.