![]() Oh, and by the way, there's a case for protecting your wrists from repetitive motion injury.carpal tunnel injury often affects the nerves going to the first three digits, which means you have to re-learn how to palpate using other digits. Another anatomy landmark that the examiner can use is the. The dorsalis pedis artery, a branch of the anterior tibial artery, can be palpated within 1.0 to 1.5 cm of the navicular bone. Finally, if something hits an artery hard enough to injure it, there's going to be PAIN if the pt can tell you where it hurts most, and mech of injury suggests vascular damage at that location, there's your clue. The dorsalis pedis artery and the posterior tibial artery are two palpable pedal pulses that examiners often check during a vascular examination of the foot. If there is a breach of an artery, too, that blood's going somewhere that's going to get swollen and tight eventually (although in the glutes or thighs that can take far too long, the location of trauma will suggest that injury). Anyway, many folks are taught or teach you to mash down, and if you are excited you will tend to mash down, but that is not always gonna get 'er done.Īlso, if you are worried about an artery, consider that there's damn little you can do about it except splint treat for shock and boogey, and it will quickly create a "downstream" condition of relative pallor and coolness. If it eludes you, retrace your technique, mark location, then try a few other spots nearby (due to idosyncratic relocation, such as due to old trauma, or "just being made that way" as my own MD says). ![]() This may "scout out" the pulse point, which you can then try to "concentrate" on. You don't crush a nectarine (or an alligator pear) to check if it's ripe, you gently palpate and concentrate. I would place my entire index finger along the side of the foot inferior to the malleolus and feel. Well, actually nectarines, but "avocados" is so much more exotic sounding.įirst remove footgear. I had trouble, then I remembered avocados. appointment this afternoon, so I may ask him about it. ![]() And the popliteal is just something I couldn't find to save my life, either on her or myself.Īlso, it took me a bit to figure out that I needed to push the bicep back a bit to get a good feel for the brachial, but now I think I've got it down.Īnyone have any tricks for the popliteal? I'd like some extra credit lol. I did find it on one side, but not the other (she mentioned that I would probably get slapped for that one in the field ). She was too ticklish for the femoral check. I can find my own, but hers seems to be hidden. Her tibial pulse was impossible for me to find. Luckily, my wife has offered to let me use her as my test patient as long as the feet get rubbed from time to timeįor the most part, all of the pulse points were easy for me to find except for the tibial, femoral, and the popliteal. He also gave us 1 "hard" one to find: the popliteal. We didn't check them all in class, but we were walked through the how's and where's of the radial, ulnar, brachial, femoral, carotid, dorsalis pedis, and tibialis posterior pulses. We just started pulse checks at the end of class last night.
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