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Doctor insights on: Femoral Pulse In Obese Patient

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A reason a patient might not have a palpable pulse?

A reason a patient might not have a palpable pulse?

Important sign: If the patient is otherwise healthy-looking, not in shock or worse, it's a warning that the arteries nearer the heart are acute or chronically compromised. Plenty of older folks lose pulses in the feet from atherosclerosis. Sudden loss of a pulse is very serious. ...Read more

Dr. Quang Nguyen
4,557 doctors shared insights

Obesity (Definition)

Having too much body fat. It is different from being overweight, which means weighing too much. The weight may come from muscle, bone, fat, and/or body water. Both terms mean that a person's weight is greater than what's considered healthy for ...Read more


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Does a patient in v-tach, v-fib have a pulse?

Does a patient in v-tach, v-fib have a pulse?

Vtach/Vfib...: A person in ventricular tachycardia may have a pulse (or might not!) whereas a person in ventricular fibrillation never has a pulse. A monitor is needed to identify the heart rhythmn. ...Read more

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Why is there fat bias when an ors treats a slim patient differently from an obese patient with the same injury.

Why is there fat bias when an ors treats a slim patient differently from an obese patient with the same injury.

Perhaps: I can't speak for everyone but justifiably or not some healthcare providers may well feel that at least a part of the injury might have been sustained due to obesity's effect on one's body. It is also likely that it is harder to examine an obese person than a normal-weight one. On the other hand, it may also be your own perception . If you are obese, losing weight can only help. ...Read more

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A patient has a pulse of 75 bpm, an end-systolic volume of 120ml & and end-diastolic volume of 135ml. What would this suggest?

A patient has a pulse of 75 bpm, an end-systolic volume of 120ml & and end-diastolic volume of 135ml. What would this suggest?

Sick!: Pulse of 75 is normal. End diastolic volume (edv) of 135 is about normal but the end systolic volume (esv) of 120 is high. This means that with every hear beat 15 cc gets put out (edv-esv), which is stroke volume (sv). Cardiac output is normally 4-5 l/min & this person is only 1.125 (svxhr), which is exceedingly low. ...Read more

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What do I do if I have no femoral pulse?

What do I do if I have no femoral pulse?

May have collateral: May have collateral circulation which makes up for where the blood from the femoral artery would go. ...Read more

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Are there peripheral pulses in a patient having venous insufficiency?

Sure: As dr. Gotvald so nicely explained, pulses are felt in arteries but venous insufficiency results from vein trouble and not artery. Many people with venous insufficiency have no arterial trouble and their pulses are completely normal. It would be uncommon, but not unknown, for someone to have arterial (and no pulses) and vein trouble. ...Read more

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What does it mean if a patients apical and radial pulses are very different?

What does it mean if a patients apical and radial pulses are very different?

Arrhythmia: This is known as a pulse deficit. Some of the heart beats are not being transmitted to the peripherery, i.E radial pulse. Common causes are atrial fibrillation or premature ventricular contractions (pvcs). ...Read more

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Please let me know if there is a peripheral pulses in patient having venous insufficiency?

Please let me know if there is a peripheral pulses in patient having venous insufficiency?

Pulses should: Be normal. Could have peripheral artery disease if they are decreased. Can have pad and venous insufficiency at same time. See sirweb.Org . Select patient tab at top. Select pad and varicose veins from menus at left for good info. Many of my patients have both diseases. ...Read more

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Which patients should be considered for obesity surgery?

Which patients should be considered for obesity surgery?

High BMI: Most insurance companies provide bariatric surgery coverage for patients with a bmi (body mass index) > 40, or a bmi of 35 with certain comorbidities. Your doctor should know your bmi, or online bmi calculator is widely available. ...Read more

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What is the most common respiratory rate and pulse rate of a patient?

What is the most common respiratory rate and pulse rate of a patient?

Everyone is diffrent: But the average pulse rate is between 60 and 80 beats per min. Resp rate is 16 to 18 breaths per min. ...Read more

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Help doctors! what're your experiences with patients who have slipped capital femoral epiphysis?

Help doctors! what're your experiences with patients who have slipped capital femoral epiphysis?

Most need surgery: Adolescents(most typically overweight male)10-14 yrs. Of age who present with hip/ groin(sometimes knee)pain w/ a limp is the' classic' scfe pt.Exam may show< internal rotation of the hip.Scfe is bilateral in ~25/50%of pts.In situ pinning( 1 centrally- placed cannulated screw in femoral neck/ epiphysis)is treatment. If displaced prognosis worse.See experienced ors or ped.Ors. ...Read more

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What might happen to a diabetic patient if her glucose level is 7.0 and pulse 80, although feeling very weak?

What might happen to a diabetic patient if her glucose level is 7.0 and pulse 80, although feeling very weak?

Get evaluated: There are many causes of weakness, which may not be related to your diabetes. The numbers you report are normal. Since some causes of weakness can be serious (and will not show up as abnormal glucose or pulse), so see your md for an evaluation. ...Read more

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You have obese 55 y old patient with htn and BP average 140 /90 but no spike above 155/90, how many and what BP medicine would you put him on. ?

You have obese 55 y old patient with htn and BP average 140 /90 but no spike above 155/90, how many and what BP medicine would you put  him on. ?

None: Everybody wants a pill these days. I would get him to commit to regular moderate exercise and weight loss. Have him see a nutritionist. Also see if sleep apnea needs to be excluded. He won't like you in the beginning but it is the right thing to do and he may thank you in the end for saving his life. ...Read more

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What are the preemptive problems on the pulse rate 124 to a 84 yrs. Old patient?

What are the preemptive problems on the pulse rate 124 to a 84 yrs. Old patient?

Suspicious: I'd be suspicious that an 84 yo has atrial fibrillation. At any rate, someone that age is not likely to tolerate the fast heart rate for long, so they need medical attention if the rapid hr is persistent. ...Read more

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Can you tell me what "femoral pulses to exclude aortic coarctation" mean?

Can you tell me what "femoral pulses to exclude aortic coarctation" mean?

Yes: Coarctation of the aorta (coa) refers to a heart defect characterized by a narrowing of the aorta that interferes with blood flow to the lower part of the body. This results in strong pulses in the arms (brachial pulse) but weak or absent pulses in the legs (femoral pulse). The finding of normal femoral pulses makes significant coa unlikely. ...Read more

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Do docs use the diaphragm of a stethoscope to assess for femoral pulses ?

Do docs use the diaphragm of a stethoscope to assess for femoral pulses ?

Not really: the only reason to use a stethoscope over a femoral pulse is to see if there is a bruit to assess for an a-v fistula ...Read more

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Why would a patients pulse rate increase when they're having an asthma attack?

Why would a patients pulse rate increase when they're having an asthma attack?

See below: Because they can't breathe well, they are hypoxic and the heart compensates by beating faster to get more blood volume through the lungs in the hope of getting it better oxygenated. ...Read more

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What is the reasoning behind checking the patient's pulse if the monitor shows a sinus rhythm?

What is the reasoning behind checking the patient's pulse if the monitor shows a sinus rhythm?

Many reasons: The pulse can be fast or slow and be in a sinus rhythm. Why is it fast of slow? That is the reason. There are many. Good question though. ...Read more