Possible Causes for Decreased Femoral Pulse Leriche Syndrome femoral pulses. [westjem.com] femoral pulses.1 The syndrome results from thrombotic aortoiliac occlusion and was first described by a French surgeon, Rene Leriche, in 1940.1-2 The disease most commonly [westjem.com] Signs and symptoms : Classically, Leriche syndrome is described in male patients as a triad of the claudication of the buttocks and thighs, absent or decreased femoral pulses [xpertdox.com] Dissecting Aortic Aneurysm (femoral/carotid/etc) equal Dissecting aortic aneurysm - Clinical signs Blood pressure discrepancy between arms Decrease in a femoral/carotid pulse [quizlet.com] (eg, carotid, brachial, femoral) Progression or development of bruits Possible laboratory study findings include the following: Leukocytosis: Stress state Decreases in hemoglobin [emedicine.medscape.com] […] has started Substernal (below sternum); back is rarely involved Dissecting aortic aneurysm - Region/radiation Back possibly involved, between shoulder blades Peripheral pulses [quizlet.com] Extracranial Giant Cell Arteritis Decreased or absent carotid, radial, dorsalis pedis or posterior tibial artery pulses. [rheumatologyadvisor.com] Bruits over major arteries such as the carotids, vertebrals, subclavians, axillary, iliac/femoral arteries. [rheumatologyadvisor.com] GCA may include the following: Weight loss Fever Asymmetric blood pressures in arms or legs may occur if inflammation causes stenosis of the subclavian, axillary, iliac or femoral [rheumatologyadvisor.com] Autosomal Dominant Coarctation of Aorta With palpation of the femoral pulse in an infant, the patient must be allowed to relax the legs voluntarily because forceful restraint can decrease or abolish a normal femoral [clinicalgate.com] pulses D. weak or absent femoral pulses A 1 month old infant visits his primary care provider for a well baby check. physical exam reveals decreased cardiac output, hypotension [quizlet.com] pulse. [clinicalgate.com] Arterial Embolism Abstract The aims of this study were to review the prevalence and outcome of all surgically treated upper and lower limb emboli presenting to one vascular unit in the last 3 years and to compare transthoracic with transesophageal echocardiography for defining the source of the embolus. All patients who underwent[…] [ncbi.nlm.nih.gov] Coarctation of the Aorta Related Links Cardiac Catheterization Procedures Heart Surgery Heart Center Team See a Picture (MedlinePlus) What is it? Coarctation (pronounced kO–ärk–'tA–shun ) of the aorta is when the aorta has a very narrow area or segment like in an hourglass. Blood pressure increases above the narrow spot and the left[…] [web.archive.org] Acyanotic Congenital Heart Disease PURPOSE: We analysed the gross motor recovery of infants and toddlers with cyanotic and acyanotic congenital heart disease (CHD) who received early postoperative physical therapy to see whether there was any difference in the duration to recovery. METHODS: This study retrospectively evaluated the influence of[…] [ncbi.nlm.nih.gov] Bronchial Injury MVC, fall, airplane crash), complaints of chest pain, dyspnea, hoarseness (frequently absent) - Decreased femoral pulses, differential arm BP (arch tear) - CXR, CT scan, transesophageal [fprmed.com] Fibromuscular Dysplasia Symptoms, when they occur, vary by location: Claudication in the thighs and calves, femoral bruits, and decreased femoral pulses when leg arteries are affected Secondary hypertension [merckmanuals.com] Symptoms, when they occur, vary by location: Leg arteries: Claudication in the thighs and calves, femoral bruits, and decreased femoral pulses Ultrasonography may suggest [msdmanuals.com] Inferior Vena Cava Syndrome femoral pulse, and signs of fetal distress which can only be detected by way of CTG at a hospital. [jacobburton.wordpress.com] femoral pulse Supine hypotensive syndrome is caused when the inferior vena cava is compressed by the weight of a pregnant female’s uterus, fetus, placenta and amniotic fluids [jacobburton.wordpress.com] […] sign) Bradycardia (very late sign) Sweating Nausea Hypotension Dizziness Edema of the lower extremities Sings of fetal hypoxia or distress (seen through CTG in hospital) Decreased [jacobburton.wordpress.com] Tracheobronchial Injury MVC, fall, airplane crash), complaints of chest pain, dyspnea, hoarseness (frequently absent) - Decreased femoral pulses, differential arm BP (arch tear) - CXR, CT scan, transesophageal [fprmed.com] Traumatic Aortic Rupture Each patient's chart was evaluated for chest pain, respiratory distress, thoracic back pain, hypotension, hypertension, and decreased femoral pulses. [ncbi.nlm.nih.gov] Isolated Autosomal Dominant Preauricular Tag 1 Murmur: worrisome murmur: Grade III or higher, harsh quality, pansystolic, loudest LUSB, abnormal S2, decreased femoral pulses, other abnormalities; patent ductus murmur [ccfpprep.com] – continuous, harsh; some murmurs develop in few days, so auscultation needs to be repeated prior to discharge and in outpatient visit Pulses: decreased femoral in coarctation [ccfpprep.com] increased pulse pressure in PDA Resp: check size, symmetry, structure of chest, chest wall movement, and resp effort Breast: check size and nipple position (>25% of chest [ccfpprep.com] Penetrating Chest Trauma MVC, fall, airplane crash), complaints of chest pain, dyspnea, hoarseness (frequently absent) - Decreased femoral pulses, differential arm BP (arch tear) - CXR, CT scan, transesophageal [fprmed.com] Abdominal Aortic Aneurysm without Rupture femoral pulses Decreased urine output Back pain Hematuria A pulsation to the right of the midline of the abdomen. [thesullivangroup.com] […] mistaken for renal colic Back To Top Key Physical Exam Pulsatile mass Abdominal tenderness Classic triad of: mass, pain, hypotension occurs in 30-40% of cases Abdominal bruit Decreased [thesullivangroup.com] Sacral Hemangiomas - Multiple Congenital Abnormalities Syndrome Murmur: worrisome murmur: Grade III or higher, harsh quality, pansystolic, loudest LUSB, abnormal S2, decreased femoral pulses, other abnormalities; patent ductus murmur [ccfpprep.com] – continuous, harsh; some murmurs develop in few days, so auscultation needs to be repeated prior to discharge and in outpatient visit Pulses: decreased femoral in coarctation [ccfpprep.com] increased pulse pressure in PDA Resp: check size, symmetry, structure of chest, chest wall movement, and resp effort Breast: check size and nipple position (>25% of chest [ccfpprep.com] Fibromuscular Hyperplasia of the Carotid Artery pulses in the femoral vein Carotid arteries: Transient ischemic attack or stroke symptoms (such as trouble speaking, muscle weakness, paralysis on one side of the body, vision [merckmanuals.com] […] tired feeling in the muscles of the leg (claudication), unusual sounds heard through a stethoscope that are caused by blood rushing through the narrowed artery (bruits), and decreased [merckmanuals.com] Cervical Aortic Arch A presumptive diagnosis of cervical aortic arch can be made by noting loss or decrease of femoral pulses during brief compression of the mass. [annalspc.com] Radial Ray Hypoplasia - Choanal Atresia Syndrome Decreased femoral pulses alone suggest coarctation of the aorta. Bounding pulses suggest a widened pulse pressure. [hawaii.edu] The quality of peripheral pulses should be noted. Generally weak pulses denote systemic hypoperfusion as in low volume states and decreased cardiac output. [hawaii.edu] Embolism of Arteries of the Extremities femoral artery pulses and is referred to the laboratory for evaluation. [quizlet.com] Have a high frequency sound Pulse volume recordings demonstrate a lack of dicrotic notvh in the recordings at the thigh, decreased pulses at the upper calf, and flat tracings [quizlet.com] Mild iliofemoral stenosis, severe superficial femoral stenosis or occlusion, and severe infrapopliteal occlusive disease A 36yr old female comes to the vascular lab because [quizlet.com] Coxitis Fugax femoral head perfusion in each pulse sequence. [ajronline.org] […] consensus regarding the grade of joint effusion, presence of synovial thickening, alterations in signal intensity of soft tissue and bone marrow in the affected hip joint, and decreased [ajronline.org] Skin Vascular Disease Leriche syndrome is a clinical syndrome described by intermittent claudication, impotence, and significantly decreased or absent femoral pulses. [emedicine.medscape.com] Congenital Absence of Ductus Arteriosus leading to pulmonary over-circulation Pulse Delay or Absence : Decreased or absent femoral pulses may suggest coarctation of the aorta Brachial-femoral pulse differential [emergencymedicinecases.com] 100% oxygen is a pulmonary vasodilator and could worsen respiratory distress in a patient with ductal-dependent lesions, by decreasing PVR and increasing pulmonary blood flow [emergencymedicinecases.com] Aortic Arch Interruption Lower systolic blood pressure in the lower than in the upper limbs and/or a delay or decrease in amplitude of femoral pulses compared to brachial or carotid pulses should [elsevier.pt] Cervix Stricture This term describes a complex of clinical symptoms (eg, claudication, decreased femoral pulses) attributed to obstruction of the infrarenal aorta (, 11 ). [pubs.rsna.org] Cyanotic Congenital Heart Disease leading to pulmonary over-circulation Pulse Delay or Absence : Decreased or absent femoral pulses may suggest coarctation of the aorta Brachial-femoral pulse differential [emergencymedicinecases.com] Decreased and delayed pulses in lower extremities. Systolic ejection LSB. [slideplayer.com] 100% oxygen is a pulmonary vasodilator and could worsen respiratory distress in a patient with ductal-dependent lesions, by decreasing PVR and increasing pulmonary blood flow [emergencymedicinecases.com] Congenital Absence of Lung Decreases in femoral pulses and lower extremity blood pressures may indicate coarctation of the aorta. Providing 100% oxygen will not improve oxygen saturation. [aafp.org] Endocarditis […] pain and decreased pulses. [emedicine.medscape.com] Peripheral vascular complications include splenic emboli with infarction or abscess, embolization to the pulmonary artery, and emboli to the femoral artery, resulting in extremity [emedicine.medscape.com] Thickened Earlobes-Conductive Deafness Syndrome MASSES and BOWEL LOOPS FEMORAL PULSES and DISTAL AORTA : Decreased or absence femoral pulses can be found in several disorders: Dissecting Aortic Aneurysm Coarctation of Aorta [kumc.edu] ARTERIAL PULSES : Normal Pulses: Radial, Brachial, Carotid, Femoral, Popliteal, Posterior Tibial, Dorsalis Pedis. [kumc.edu] […] occurs during this, which is right after the a-wave and also during the x-descent. v-Wave : Passive phase of atrial filling during ventricular systole. y-Descent : Brief decreases [kumc.edu] 46,XX Ovarian Dysgenesis-Short Stature Syndrome Labs: Decreased estrogen Increased LH Increased FSH [quizlet.com] < brachial pulse), lymphatic defects (result in webbed neck or cystic hygroma; lymphedema in feet, hands), horseshoe kidney. [quizlet.com] (45,XO) or mosaicism (e.g. 45,XO/46,XX) Short stature (if untreated), ovarian dysgenesis (streak ovary), shield chest, bicuspid aortic valve, preductal coarctation (femoral [quizlet.com]
