Pulse examination By Prof.Dr.Deshpande

Pulse Examination PPT -- By Prof.Dr.R.R.deshpande -- This is PPT abput Pulse Examination .Prof.Deshpande has explained how pulse should be examined for Rate,Rhythm,Volume ,Tension ,equality on both side ,Condition of vessel wall .He also explained about Sphygmograph .
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1. Pulse Examination
•Presented By –
•Prof.Dr.R.R.Deshpande (M.D
in Ayurvdic Medicine & M.D.
in Ayurvedic Physiology)
•www.ayurvedicfriend.com
•Mobile – 922 68 10 630
•professordeshpande@gmail.
com
9/18/2016 Prof.Dr.R.R.Deshpande 1

2. What is Pulse ?
•Pulse is a wave generated at the base of Aorta
& spreading along the arterial wall to the
peripheral arteries
•Wave is generated due to pumping of blood
by heart
•Pulse is not due to blood flow under the vessel
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3. Pulse Examination
•Pulse is examined at superficial arteries
•Most common site is Radial Artery
•It can be compressed against the bone ,that is
why it is commonly selected
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4. Pulse Examination
•Done with 3 fingers – Index ,Middle & Ring
•Index finger should be kept proximal to heart & Ring
finger should be distal from heart
•Proximal finger will check the force of pulse
•Purpose of distal finger is to obliterate the back flow
coming from Ulnar artery .Light pressure is given by
ring finger to obliterate
•Rest all parameters of pulse are judged by middle
finger
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5. Clinical Examination of Pulse
•1) Rate
•2) Rhythm
•3) Volume
•4) Force
•5) Tension
•6) Equality on both sides
•7) Condition of vessel wall
•8) Peripheral Pulsations
•9) Apex – Pulse ratio
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6. 1) Rate
•Count Pulsations with watch for full 1 minute
•Minimum 3 readings are essential
•When consecutive 2 readings are same ,that is
correct pulse
•Tachycardia & Bradycardia can be diagnosed
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7. Counting pulse rate in full one minute
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8. 2) Rhythm
•Whether beats are coming at regular interval ?
•
•In healthy individual ,we get regular or
rhythmic pulse
•Irrgular pulse is obtained in Cardiac
Arrythmias
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9. 2) Rhythm
•Rarely in children ,we get regularly irregular
pulse .This is called as Sinus Arrythmia
•During Inspiration ,pulse rate increases &
during expiration ,pulse rate decreases
•As age increases ,Vagal tone improves & Sinus
Arrythmia goes away
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10. 3) Volume
•Uplift to middle finger
•It denotes Pulse Pressure
•
•Pulse Pressure = SBP – DBP
•If patient has high Systolic & low Diastolic BP
,then Pulse pressure is more .Therefore
Volume will be more
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11. Middle Finger
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12. Uplift to middle finger
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13. 4) Force
•Put pressure on Index finger ,to obliterate the
blood flow & stop pulsations
•The amount of pressure required to be applied
to obliterate or stop the blood flow indicates
Force of pulse
•It gives rough idea of Systolic Blood Pressure
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14. Pressure by Index finger
to Obliterate flow
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15. 5) Tension
•Feel of the Pulse ,between 2 uplifts
•It gives rough idea about Diastolic Blood
Pressure
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16. 6) Equality of Pulse
• Pulse of right & left side , should be examined
simultaneously
•Normally pulsations on both sides are felt at
one & the same time
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17. Pulse equality on both sides
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18. 7) Condition of vessel wall
•Roll artery under the fingers
•Normally it is elastic
•In old age ,due to atherosclerosis ,it gives wire
or cord like feeling
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19. Rolling of fingers
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20. 8) Pulse examination at other places
•1) Superficial Temporal Artery
•2) Facial Artery ( Anterior border of Masseter
muscle)
•3) Carotid Artery ( Medial to Sternocleido
mastoid muscle)
•4) Brachial Artery ( Medial to Bicep Tendon)
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21. Temporal artery
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22. Facial Artery
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23. Carotid artery
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24. Brachial Artery
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25. 8) Pulse examination at other places
•5) Femoral Artery ( Inguinal region)
•6) Popliteal Artery ( Behind knees)
•7) Dorsalis Pedis Artery ( 1
st
Intertarsal space)
•This examination is IMP to diagnose Peripheral
vascular diseases like TAO ( Thrombo Agitans
Obliterans)
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26. Popliteal Artery
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27. Dorsalis pedis artery
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28. 9) Apex Pulse ratio
•Corelate beating of heart with pulse
•One hand is put on pulse & 2
nd
hand is put on
heart ,at Apex beat
•Apex beat will be felt first ,followed by pulse
beat
•One to one relation indicates HR = PR
•If HR > PR – This is Pulsus Deficit ,indicating
Cardiac Arrythmias
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29. 9) Apex Pulse ratio
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30. Sphymograph
•Examination of pulse = Mirror of heart
•Pulse can be recorded in a Graph ,with computerized
instrument ,called as Sphymograph
•It will show positive wave or Anacrotic wave
,indicating Ventricular systole
•Down stroke is called as Catacrotic wave ,indicating
Ventricular Diastole
•There is Dicrotic notch between 2 waves ,Dicrotic
notch ,due to closure of Aortic semilunar valves
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31. Pulse wave tracing
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32. Sphymograph
•Whatever we diagnose by clinical pulse
examination can be diagnosed by
Sphygmograph
•Ayurvedic diagnosis of Vata ,Pitta ,Kapha Nadi
can be objectively compared by Sphymograph
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33. Please see also Videos
•Copy ,Paste Link as URL
•Pulse Examination -- By
Prof.Dr.R.R.deshpande
•https://youtu.be/mATZjnD9bF8
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34. Prof.Dr.R.R.Deshpande
•Sharing of Knowledge
•FOR
•Propagating Ayurved
9/18/2016 34Prof.Dr.R.R.Deshpande