Clinical Examination in Surgery

Radial Pulse Clincal Procedure

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Radiology Videos By Dr.Ghanashyam Vaidya DVD3 : www.Dof3tna.net

Examination Of Pulse In Clinical Medicine

Radial Pulse Clincal Procedure

Pulse

Pulse means the expansion and elongation of arterial walls passively produced by the pressure changes during systole and diastole of ventricle.

 Different Pulses:

  1. Radial pulse
  2. Brachial pulse
  3. Carotid pulse
  4. Femoral pulse
  5. Popliteal pulse
  6. Posterior tibial pulse
  7. Pulse of arteria dorsalis pedis

Evaluation/Characteristics:

  1. Rate
  2. Rhythm
  3. Volume
  4. Character
  5. Condition of arterial wall
  6. Symmetry
  7. Radio-femoral delay

Findings of different characteristics:

  • Rate, Rhythm & Condition of the vessel wall: by Radial artery.
  • Character & Volume: by Carotid pulse.
  • Symmetry: by Simultaneous assessing both right & left radial pulse.
  • Radio-femoral delay: by Simultaneous assessing of right radial pulse & right femoral pulse.

Radial Pulse :

Radial Pulse Clincal Procedure
Radial Pulse examination

At wrist , lateral to flexor carpi radialis tendon , place your three middle fingers over the radial pulse.

Brachial Pulse:

Brachial Pulse- Clinical procedure
Brachial Pulse Examination

In antecubital fossa medial to biceps tendon. Use your thumb with your fingers cupped round the back of elbow.

Carotid Pulse:

  • Palpate carotid pulse with the patient lying on a bed / couch
  • Never compress both carotid arteries simultaneously.
  • Use your left thumb for right carotid pulse & vice versa.
  • Place tip of thumb b/w larynx & ant.border of sternocleidomastoid.
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