Subclavian Steal Syndrome
Physical examination findings may include unilaterally decreased pulses on the affected side, a blood pressure difference of greater than 20 mm Hg between the arms, supraclavicular[aafp.org]
It is characterized by episodes of flaccid paralysis of the arm, pain in the mastoid and occipital areas, and a diminished or absent radial pulse on the involved side.[medical-dictionary.thefreedictionary.com]
[…] bruits and disappearance of the radial pulse on exercise or elevation of the arm.[aafp.org]
Cervical Rib Syndrome
Interpretation - Positive test finding ( Decreased Radial Pulse and/or Distal extremity pain reproduced ) suggests interscalene compression.[physiotherapy-treatment.com]
: - radial pulse obliteration is not by itself specific, but loss of pulse with reproduction of symptoms is a positive test; - decreases interscalene space by tensing anterior[wheelessonline.com]
Note: With all three orthopedic assessment tests for thoracic outlet syndrome, Adson’s, Eden’s, and Wright’s, the criterion in a decrease in the STRENGTH of the radial pulse[learnmuscles.com]
Scalenus Anticus Syndrome
When the test is positive, a decrease in the radial pulse is noted, and pain is reproduced.[clinicalgate.com]
pulses or signs of blanching of the skin in the hands indicating a decrease in blood flow with the maneuver.[en.wikipedia.org]
Additional maneuvers that may be abnormal in TOS include Wright's Test, which involves hyperabducting the arms over the head with some extension and evaluating for loss of radial[en.wikipedia.org]
Thoracic Outlet Syndrome
: - radial pulse obliteration is not by itself specific, but loss of pulse with reproduction of symptoms is a positive test; - decreases interscalene space by tensing anterior[wheelessonline.com]
For the Adson’s test, the physician will abduct, extend and externally rotate the arm while feeling the radial pulse.[medium.com]
pulses or signs of blanching of the skin in the hands indicating a decrease in blood flow with the maneuver.[en.wikipedia.org]
Hemiplegia
Neurology. 2012 Jul 3;79(1):e1-4. doi: 10.1212/WNL.0b013e31825dce5f. Author information 1 Department of Neurology, Cincinnati Childrens Hospital Medical Center, Cincinnati, OH, USA. jeffrey.tenney@cchmc.org Abstract Hemiconvulsion-hemiplegia-epilepsy (HHE) syndrome is an uncommon outcome of prolonged focal status[…][ncbi.nlm.nih.gov]
Reflex Sympathetic Dystrophy
Workplace Health Saf. 2018 Apr;66(4):169-172. doi: 10.1177/2165079917736786. Epub 2017 Nov 9. Abstract A 36-year-old woman sustained a Grade 2 ankle sprain at work. Two days after the injury, the ankle and foot became red and she complained of "intense burning pain." First diagnosed with complex reflex sympathetic[…][ncbi.nlm.nih.gov]
Non-Cranial Giant Cell Arteritis
Histopathologic findings did not help rule out giant cell arteritis (GCA) in patients whose temporal artery biopsy findings were negative, a retrospective study found. Among patients who ultimately were diagnosed with GCA but whose temporal artery biopsies showed no evidence of an inflammatory giant cell infiltrate,[…][medpagetoday.com]
Takayasu Arteritis
radial pulses (at the wrist) Difference in blood pressure between the two arms High blood pressure ( hypertension ) There may also be signs of inflammation ( pericarditis[nlm.nih.gov]
Bilateral radial pulses were absent. Ultrasound showed renal size asymmetry and raised the possibility of renal artery stenosis.[ncbi.nlm.nih.gov]
Symptoms may include: Arm weakness or pain with use Chest pain Dizziness Fatigue Fever Lightheadedness Muscle or joint pain Skin rash Night sweats Vision changes Weight loss Decreased[nlm.nih.gov]
Sepsis
[…] breathing), or both, and with impaired perfusion, as evidenced by 1 or more of the following: a capillary refill time of 3 or more seconds, lower limb temperature gradient, weak radial-pulse[doi.org]
In this study, administration of 20 mL/kg or 40 mL/kg in the first hour was associated with decreased survival compared with the use of maintenance fluids alone. 26 Therefore[doi.org]
Hypovolemia
A narrowing in the pulse pressure, an early symptom of hypovolemic shock, reflects a decrease in stroke volume and peripheral vasoconstriction.[163.178.103.176]
Frequently assess the radial pulse (and periodically check the brachial, pedal, and popliteal pulses), noting its rate, strength, and regularity.[163.178.103.176]
Also watch for changes in the pulse pressure.[163.178.103.176]