Disclaimer Show Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always … More Oxford University Press makes no representation, express or implied, that the drug dosages in this book are correct. Readers must therefore always check the product information and clinical procedures with the most up to date published product information and data sheets provided by the manufacturers and the most recent codes of conduct and safety regulations. The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-pregnant adult who is not breastfeeding. You do not currently have access to this chapter. Accessible arterial pulse sites Carotid artery pulse - The common carotid artery is palpated on the neck below the jaw and lateral to the larynx/trachea (i.e., mid-point between your earlobe and chin) using the middle and index fingers.  Posterior tibial pulse
Midway between the medial malleolus and the medial calcaneal tubercle. This is the point at which its pulse is most easily felt. Draw an imaginary line between the posterior border of the medial malleolus and the Achilles tendon. Place 2-3 fingers over the middle of this line, reaching medially from the dorsum of the foot. Then, curl your fingers anteriorly to compress the posterior tibial artery against the posterior part of the medial malleolus. Note that as this artery passes beneath the flexor retinaculum and the origin of abductor hallucis, it divides into its two terminal branches - the medial and lateral plantar arteries. Postgrad Med J. 2002 Dec;
78(926): 746–747. Introduction: The unreliability of the pulse examination of the foot has primarily been due to variability of technique between examiners. Whereas the groove between the medial malleolus and the Achilles tendon more readily defines the location of the posterior tibial pulse, the location of the dorsalis pedis pulse remains vague. In this paper a novel method of
locating the dorsalis pedis pulse by physical examination is described. Methods: Forty one consecutive patients admitted to a general surgery service of a tertiary medical centre within a two month period were examined. Using the dorsal most prominence of the navicular bone as a landmark, the distance to the dorsalis pedis pulse in bilateral lower extremities was measured by palpation and compared to Doppler ultrasound. Measurements were confirmed by two
separate examiners blinded to each others' results. Results: The dorsalis pedis artery was palpable in 78% of extremities and present by Doppler ultrasound in 95%. The location of the left dorsalis pedis artery was a mean (SD) 9.8 (1.4) mm by palpation and 11.1 (2.1) mm by Doppler ultrasound from the dorsal most prominence of the navicular bone. The right dorsalis pedis artery was 10.4 (3.4) mm by palpation and 11.5 (0.7) mm from the dorsal most prominence of
the navicular bone. No significant differences in location of the dorsalis pedis artery were observed bilaterally between Doppler ultrasound and palpation; No significant differences were observed comparing contralateral dorsalis pedis arteries nor any differences between the examiners' results. Conclusion: The dorsal most prominence of the navicular bone provides a bony landmark to readily locate the dorsalis pedis artery. Reliability of the examination may be increased as to the patency of the dorsalis pedis artery by using this dependable anatomic landmark. Full TextThe Full Text of this article is available as a PDF (65K). Selected ReferencesThese references are in PubMed. This may not be the complete list of references from this article.
Articles from Postgraduate Medical Journal are provided here courtesy of BMJ Publishing Group What pulse is located in the groove between the medial malleolus and the Achilles tendon quizlet?Explanation: The posterior tibial pulse is located in the groove between the medial malleolus and the Achilles tendon.
Which alteration in the pattern of the cardiac pulse should a nurse expect to find on examination of a client with aortic regurgitation?Usually in presence of aortic regurgitation the pulse pressure is very high. A normal or decreased pulse pressure may indicate a reduced cardiac output and incipient systolic heart failure. These are signs of volume overload, both in the systemic and pulmonary circulation.
What is arterial insufficiency?Arterial insufficiency is any condition that slows or stops the flow of blood through your arteries. Arteries are blood vessels that carry blood from the heart to other places in your body.
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What pulse is located in the groove between the medial malleolus and Achilles tendon?
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