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On inspection the clinician looks for signs of: trauma; previous surgery ()muscle wasting/muscle asymmetry; edema (swelling) erythema (redness); ulcers – arterial ulcers tend to be on the borders / sides of the foot, neuropathic ulcers on the plantar surface of the foot, venous ulcers tend on be on the medial aspect of the leg superior to the medial malleolus.
The posterior tibial artery pulse can be readily palpated halfway between the posterior border of the medial malleolus and the Achilles tendon. [1] It is often examined by clinicians when assessing a patient for peripheral vascular disease. It is very rarely absent in young and healthy individuals. [3]
In medicine, the pulse is the rhythmic throbbing of each artery in response to the cardiac cycle (heartbeat). [1] The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck (carotid artery), wrist (radial artery or ulnar artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint ...
The dorsalis pedis artery pulse can be palpated readily lateral to the extensor hallucis longus tendon (or medially to the extensor digitorum longus tendon) on the dorsal surface of the foot, distal to the dorsal most prominence of the navicular bone which serves as a reliable landmark for palpation. [3]
Popliteal pulse: Because the popliteal artery is deep, it may be difficult to feel the popliteal pulse. Palpation (checking) of this pulse is commonly performed with the person in the prone position with the knee flexed to relax the popliteal fascia and hamstrings.
Many of the arteries, veins, nerves, and muscles in the leg are named according to what bone they are near (e.g. tibialis anterior and the tibial nerve are near the tibia). So the artery that runs near the smaller leg bone had two names: the peroneal artery and the fibular artery.
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From here, wires and catheters can be directed anywhere in the arterial system for intervention or diagnostics, including the heart, brain, kidneys, arms and legs. The direction of the needle in the femoral artery can be against blood flow (retro-grade), for intervention and diagnostic towards the heart and opposite leg, or with the flow (ante ...