Surgical A-V fistula

Inspection 

  1. Dilated pulsatile vessels in forearm with an overlying scar
  2. Site (radio-cephalic or bracio-cephalic)
  3. Puncture site
  4. Dilated veins (venous hypertension)

Palpation

  1. Thrill
  2. Alan’s test (on examiners hand)

Auscultation bruit