Fretz Music Center
Trendelenburg test from wikipedia, the free encyclopedia jump to: navigation, search not to be confused with trendelenburg's sign. order viagra The trendelenburg test or brodie-trendelenburg test is a test which can be carried out as part of a physical examination to determine the competency of the valves in the superficial and deep veins of the legs in patients with varicose veins.   procedure with the patient in the supine position the leg is flexed at the hip and raised above heart level until the veins become empty. order cheap generic viagra A tourniquet is then applied around the upper thigh to compress the superficial veins but not too tight as to occlude the deeper veins. The leg is then lowered by asking the patient to stand. Normally the superficial saphenous vein will fill from below within 3 to 5 seconds as blood from the capillary beds reaches the veins; if the superficial veins fill more rapidly with the tourniquet in place there is valvular incompetence below the level of the tourniquet in the "deep" or "communicating" veins.  after 20 seconds, if there has been no rapid filling, the tourniquet is released. If there is sudden filling at this point it indicates that the communicating veins are competent but the superficial veins are incompetent.  the test is reported in two parts, the initial standing up of the patient (positive or negative based on rapid filling) and the second phase once the tourniquet is removed (positive or negative based upon rapid filling). buy generic viagra online For example, a possible outcome of the test would be negative-positive meaning that the initial phase of the test was negative indicating competence in the communicating veins and the second phase of the test was positive meaning that there is superficial vein incompetence. The test can be repeated with the tourniquet at different levels to further pinpoint the level of valvular incompetence: above the knee - to assess the mid-thigh perforators below the knee - to assess incompetence between the short saphenous vein and the popliteal vein.  superficial veins of the leg normally empty into deep veins, however retrograde filling occurs when valves are incompetent, leading to varicose veins. cheap viagra 5mg The test is named for friedrich trendelenburg who described it in 1891.   references ^ "assessing the lower extremities in the geriatric patient: assessment of lower extremity circulation". Medscape. viagra natural online Retrieved 2011-12-28. viagraforsaleovernightcfs.com ^ "varicose vein surgery workup". Emedicine. Medscape. Com. Retrieved 2011-12-28. ^ bates guide to physical exam and history taking. generic viagra fast shipping Lynn bickley. Lippincott ^ jim mcmorran, damian crowther, stew mcmorran, steve youngmin, ian wacogne, jon pleat, clive prince. what is a natural viagra alternative "brodie-trendelenburg test - general practice notebook". Gpnotebook. viagra 10 mg yan etkileri Co. order viagra online canada Uk. Retrieved 2011-12-28. ^ trendelenburg, f (1891). what is a natural viagra alternative "ãœber die unte. generic viagra online Opened in 1955, Fretz Music serves students, teachers and professional performers with fine instruments, quality accessories and inspiring printed music in a "hometown" family atmosphere. Whether it's a hard to find piece of sheet music, some repairs on your band instrument, your first guitar, or lessons on how to play, we have the answers to your questions. Our knowledgeable sales staff and our talented teaching staff are here to serve you.
Monday - Thursday 11-9
Sunday - Closed
NEW! Now you can set up your School Instrument Rental online. Click the above banner, fill out the form and choose to pick up the instrument in our store or have it sent directly to your home! Save yourself loads of time. As you know, we offer only the top brand, Music Educator Approved instruments at very reasonable rates! Need more info, click here to get to our Rentals page.
Study with the best teachers in the area! - Call and sign up now!
What's New At Fretz Music?
Washburn Electric - Acoustic Guitars, Banjos, Dobros and Mandolins!
Washburn is a name that has been around since 1883! Featuring the finest in stringed instruments with models from entry level all the way up to pro. Stop by soon and check them out for yourself or click here for a quick look at our current inventory. And check out the compay website here for more info!
Fretz Music Center is named a Hal Leonard Preferred Retailer!
Now the entire Hal Leonard Music Catalog is available online for purchase or delivery to our store for pickup. Just click the shopping cart picture before shopping to insure Fretz Music is your "preferred" retailer.