- Evaluate where the lump is from - BSTJAVN - Bone, skin, tendon/ muscle, joint, Artery, Vein, Nerve
- B - soft and not a hard lump
- S - Pinch skin above lump - “not within dermis”
- T - Check tendon movements - “not from tendon”
- Check FDP and FDS movements
- Joints
- Check IPJ stability
- A - Check pulsatibility - not pulsatile
- V - Engorgement test
- Do engorgement test by gripping forearm and ask patient to make a fist repeatedly, to see if the vascular malformation gets bigger
- N - Check Tinel, check MUR nerves (motor and sensation) - not from nerve
- Special - Transillumination
- Check Digital Allen test