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    Objectives: at The End of This Activity, You Should Be Able To

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    Arriane Andaya
    The capillary fragility test measures the ability of small capillaries to retain blood when subjected to increased pressure and lack of oxygen. Increased capillary fragility can indicate deficiencies in platelets or their function. The test involves applying pressure to the arm for 5 minutes using a blood pressure cuff or tourniquet, then checking for petechiae, which are small red spots that indicate bleeding from ruptured capillaries. More petechiae within 10 minutes indicates greater capillary fragility. The test results can help identify disorders related to primary hemostasis.

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    Objectives: at The End of This Activity, You Should Be Able To

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    Arriane Andaya
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    The capillary fragility test measures the ability of small capillaries to retain blood when subjected to increased pressure and lack of oxygen. Increased capillary fragility can indicate deficiencies in platelets or their function. The test involves applying pressure to the arm for 5 minutes using a blood pressure cuff or tourniquet, then checking for petechiae, which are small red spots that indicate bleeding from ruptured capillaries. More petechiae within 10 minutes indicates greater capillary fragility. The test results can help identify disorders related to primary hemostasis.

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    The capillary fragility test measures the ability of small capillaries to retain blood when subjected to increased pressure and lack of oxygen. Increased capillary fragility can indicate deficiencies in platelets or their function. The test involves applying pressure to the arm for 5 minutes using a blood pressure cuff or tourniquet, then checking for petechiae, which are small red spots that indicate bleeding from ruptured capillaries. More petechiae within 10 minutes indicates greater capillary fragility. The test results can help identify disorders related to primary hemostasis.

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    © All Rights Reserved
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    Download as pdf or txt
    304 views3 pages

    Objectives: at The End of This Activity, You Should Be Able To

    Uploaded by

    Arriane Andaya
    The capillary fragility test measures the ability of small capillaries to retain blood when subjected to increased pressure and lack of oxygen. Increased capillary fragility can indicate deficiencies in platelets or their function. The test involves applying pressure to the arm for 5 minutes using a blood pressure cuff or tourniquet, then checking for petechiae, which are small red spots that indicate bleeding from ruptured capillaries. More petechiae within 10 minutes indicates greater capillary fragility. The test results can help identify disorders related to primary hemostasis.

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    Laboratory Activity 1: CAPILLARY FRAGILITY TEST

    NAME: BALDO, GRYZELLE MAE B. Rating:


    Class schedule: FRIDAY 2:00-5:00 (LCA-2) Date submitted:

    This test measures the ability of small capillaries to retain blood when subjected to increased
    hydrostatic pressure and anoxia. It is a non-specific evaluation to measure capillary weakness and deficiencies
    in platelet number and function. Decreased capillary resistance causes the capillaries to rupture which leads to
    bleeding and formation of petechiae.

    Objectives: At the end of this activity, you should be able to:


    ▪ properly perform the capillary fragility test (tourniquet); and
    ▪ discuss the clinical significance of the test in the screening of primary hemostatic disorders.

    Materials Needed: Blood pressure cuff (or tourniquet/rubber or cloth strip), timer

    Procedure: Rumpel-Leede Tourniquet Test

    1. Examine the forearm, hand, and fingers to make certain that no petechiae are present.
    2. With a blood pressure cuff, apply 100 mmHg pressure to upper arm.
    🢩 To those who do not have a blood pressure cuff, use a tourniquet or rubber/cloth strip instead.
    Apply the tourniquet not too tight, not too loose to employ just enough pressure.
    3. Maintain pressure for 5 minutes.
    4. Release cuff and wait for 5 – 10 minutes before making a final reading.
    5. Examine the forearm, hands and fingers for petechiae.

    1+ : A few petechiae on the anterior part of the forearm


    2+ : May petechiae on the anterior part of the forearm
    3+ : Multiple petechiae over the whole arm and back of the hand
    4+ : Confluent petechiae on the arm and back of the hand
    Note: Disregard any petechiae within ½ inch of the blood pressure cuff (tourniquet)
    because this may be due to pinching of the skin by the cuff.

    6. Count the number of petechiae and roughly interpret as follows:

    Illustrate:
    1. Petechiae, purpura, ecchymosis
    2. Photo of your individual results.

    Enhancement Questions:
    Reading Assignment:
    1. What are petechiae, ecchymoses, purpura?
    2. Enumerate and describe the different vascular disorders that lead to bleeding.
    3. Clinical significance of CFT
    Research Question: (to be checked using the rubrics)
    1. Give the factors affecting the results of the test
    2. Give and explain the contraindications of CFT.
    Patient 1
    Result: 1+ : A few petechiae on the anterior part of the forearm

    Patient 2
    Result: 1+ : A few petechiae on the anterior part of the forearm
    QUESTIONS FOR RESEARCH:

    1. Give the factors affecting the results of the test

    ● Failure to keep the cuff inflated for 5 minutes.


    ● Elasticity of the skin.
    ● Premenstrual women experience transient episodes of increased capillary fragility.
    ● Women especially those with sun damaged skin, can have increased capillary fragility.
    ● Prolonged use of steroids increased capillary fragility.
    ● Insufficient intake of Vitamin C
    ● Use of certain drugs
    - Aspirin
    - Warfarin
    - Sulfonamide and Iodides

    References: Mosby’s Candian Manual of Diagnostic and Lab Test; Pagana, K. (2013) page 648
    Rodak’s Hematology: Clinical Principle and Applications; Keohane, E.M. et. Al (5th Ed) page 728- 730

    2. Give and explain the contraindications of CFT.


    CFT is not advisable to perform in presence of any of these diseases:
    - Viral infections including enteroviruses and influenza
    - Neisseria meningitidis (meningococcal) disease
    Other causes of bacteremia including Streptococcus pneumoniae and Haemophilus influenzae
    - Other diseases including Henoch Schonlein purpura, ITP and leukaemia
    - Illness characterised by vomiting or coughing causing petechiae around the head and neck
    Because this diseases ciseases causes petechiae and purpura
    Reference. Joly BS, Coppo P, Veyradier A. An update on pathogenesis and diagnosis of thrombotic thrombocytopenic purpura.
    Expert Rev Hematol. 2019 Jun;12(6):383-395

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