Rumple Leed Test - MTBS

Summary

The Ramli Test is a medical procedure used to assess children showing signs of fever (2-7 days) without bleeding. The test involves measuring blood pressure, followed by a pressure cuff test. The systolic and diastolic pressures are combined and divided by 2 to calculate the average. The cuff is inflated to 80 mmHg and maintained for 5-10 minutes. If red spots appear near the cuff area and exceed 10 in number, the test is positive. If fewer than 10 spots appear, the test result is negative, helping to assess the child's condition.

Takeaways

• 😀 Ensure preparation of necessary tools for testing, including a cuff, thermometer, and stethoscope.
• 😀 The test should be conducted if the child has a fever lasting 2-7 days without any bleeding.
• 😀 Measure the child's blood pressure before conducting the test, noting the systolic and diastolic readings.
• 😀 For a blood pressure reading of 100/60 mmHg, the mean blood pressure is calculated as (100 + 60) ÷ 2 = 80 mmHg.
• 😀 Inflate the cuff to the mean pressure (80 mmHg) and maintain it for 5-10 minutes.
• 😀 After releasing the cuff, observe for any red spots that appear on the skin where the cuff was applied.
• 😀 Check the distal area of the forearm, near the cubital fossa, for any red spots with a diameter of 2.5 cm.
• 😀 If more than 10 red spots appear, the test result is considered positive.
• 😀 If fewer than 10 red spots appear, the test result is considered negative.
• 😀 The test helps assess capillary fragility in the presence of fever, aiding in diagnosis.
• 😀 The test procedure requires careful observation and accurate timing to ensure reliability of results.

Q & A

What is the primary purpose of the procedure described in the transcript?

The procedure described in the transcript involves performing a 'Ramli test' to assess for the presence of petechiae after inflating a blood pressure cuff, which can help diagnose certain medical conditions, such as thrombocytopenia or vascular abnormalities.

When should the Ramli test be conducted according to the script?

The Ramli test should be conducted if the patient has had a fever for 2-7 days without any bleeding symptoms prior to performing the test.

What equipment is required to perform the procedure?

The equipment needed for the procedure includes a blood pressure cuff (manset), a stethoscope, and a blood pressure monitor (tensimeter).

How is the pressure for the Ramli test determined?

The pressure for the Ramli test is determined by calculating the average of the systolic and diastolic blood pressures. For example, if the blood pressure is 100/60 mmHg, the test pressure is calculated as (100 + 60) / 2 = 80 mmHg.

How long should the blood pressure cuff be inflated during the Ramli test?

The blood pressure cuff should be inflated and maintained for 5-10 minutes during the test.

What should be observed after inflating the cuff?

After inflating the cuff, observe the area for any red spots (petechiae) and check if they increase in size. Focus particularly on the distal forearm area.

What size of red spots indicates a positive result in the Ramli test?

A positive result is indicated if there are more than 10 red spots (petechiae) with a diameter of 2.5 cm or greater.

What does a negative result in the Ramli test indicate?

A negative result occurs if there are fewer than 10 red spots (petechiae) observed in the area of cuff inflation.

What area of the body is specifically observed during the Ramli test?

The area specifically observed during the test is the distal forearm, particularly around the cubital fossa (the area near the elbow).

What is the significance of finding petechiae during the test?

The presence of petechiae, particularly in the context of this test, may indicate a platelet function issue or a bleeding disorder, which could suggest a more serious medical condition like thrombocytopenia.