Doctor insights on:
Femoral Pulse In Obese Patient
Yes: Low troponin is not a problem.Get a more detailed answer ›
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
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
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
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
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
What might happen to a diabetic patient if her glucose level is 7.0 and pulse 80, although feeling very weak?
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
My son is not obese 13 Y. O and about 94 lbs. he eats lots of sweets. Any treatment for hibloodsugar? He gets symptoms when he eats sweets. Pulse In head
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
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
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
What is recommended preparation for an obese patient undergoing a cardiac rehabilitation program?
Cardiac rehab: A baseline treadmill stress test is useful to provide an exercise prescription. This helps tell us the boundaries that can be safely set for an exercise workload for a particular patient. This will vary from patient to patient. It is also something that we can measure progress against over time. ...Read more
I can feel a very light vibration in my femoral artery. It started yesterday and I seem to feel it with the regularity of a pulse rate.
Bruit : See if your doctor agree -- bruit indicates flow disturbance. ...Read more
Lately I've had an extremely low pulse and BP I'm obese and 26. I'm tired a lot, cold and I have a bit of an arrhythmia any suggestions?
Very puzzling but...: I would consider speaking to your primary doctor about testing you for thyroid abnormalities, or referring you to an endocrinologist to examine other hormonal reasons for all of these symptoms, which are somewhat suspicious for one. Please also find out more about your arrhythmia, and make sure you do not need other treatments. ...Read more
I'm a recovered patella-femoral patient, but have recently been experiencing pain in my knees when doing everyday things. I am young, so any advice?
Patellofemoral pain: What do you mean by "I'm a recovered patella-femoral patient" — if that means you have had a patellofemoral arthroplasty or replacement of the joint please let me know. Otherwise, if you have had anterior knee pain in the past and now it has come back, it is usually a result of abnormal tracking. Exercise focused to keep your quadriceps strong to control your patellar tracking is important. ...Read more
Is it normal to see your pulse in your abdomen even if you are overweight/obese? I am 26, female, 5' 5" and 188 lbs. Noticed for the past few years.
Obesity doctor: All physicians are trained in treating obesity related conditions. These include high blood pressure, elevated cholesterol, arthritis, reflux, heart disease, diabetes, among others. So, all physicians should be helping their patients loose weight. Specifically regarding weight, there are medical doctors... Bariatricians. And surgeons... Bariatric surgeons. Dieticians are also very helpful. ...Read more
What would keep a pulse ox low on a hospital patient with emphysema who is on all the necessary meds.?
Exacerbation: Even when a patient is on "all the right medications"; the underlying lung disease can cause inflammation and lower the pulse oximetry readings (known as a COPD exacerbation). Most of the time the exacerbation will resolve over the course of 5-7 days but sometimes more powerful medications given intravenously (like steroids & antibiotics) are necessary. ...Read more