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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
4,511 doctors shared insights

Obesity (Definition)

The definition started with Louis Israel Dublin, chief statistician of the Metropolitan life insurance company, in the early 1940s, as a BMI >25 (definitely >30) for people in their 20's based on retrospective observational life insurance data of the age at which people died later in life. This was subsequently adopted by the medical disease industry. However, BMI is ...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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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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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