Pulse examination is mentioned in both the systems i,e. Ayurvedic system and Tibetan system of medicine. Tibetan system of medicine is also known as Sowa-Rigpa and main text book of Tibetan medicine is termed as rGyud-bZi. The term used In Ayurveda for pulse examination is ‘Nadi pariksha’ while in Sowa-Rigpa it is termed as ‘che pa thun gyi rigpa’or ‘intuitive knowledge of diagnosis’.
In Ayurveda it is not mentioned in the classical text book of Brihattrayi (Caraka, Susruta and Vagbhata samhita). It is mentioned in firstly in Sharangadhara samhita later on by Bhavprakash, Yogaratnakara , Kanada, Ravana and in Tibetan medicine it is mentioned in last Tantra of rGyud-bZi. Both the system have some common and some different views regarding pulse
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In clinical practice no physical sign is more basic or important than the arterial pulse. From ancient time pulse has been considered as the most fundamental sign of life. The ancient physicians paid great attention to the character of the pulse in health and its changes occurring in various diseased conditions. Even today under emergency clinical conditions the modern physician frequently records the pulse directly through an intra arterial catheter, and he wishes to gain as much information as possible from inspection of the pulse contour yet it has got limited scope in studying the diseases of heart and arteries.
To the ancient physician, irrespective of civilizations of the world, the pulse has always been the subject of great learning in the field of medicine. Perhaps Egypt (B.C. 1550) had been the earliest country of the world which invented the knowledge of pulse to know the physiological condition of the heart probably from them the rays of knowledge of the same spread all over the
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In male left wrist is examined first, whereas in female right wrist is examined first. Then the opposite wrist is examined. Note that for females the organs beneath the index fingers are reversed from those for males (i,e. the heart and small intestine are read by the physician’s left hand , the lungs and large intestine by the right), while the organs beneath the other hand are the same. This differentiation is made because the channels through which mental consciousness moves in the heart are closer to the left side for males and right for females. Conditions of the upper, middle and lower part of the body are also examined from index, middle and ring finger
Anna Garcia’s cardiologist had Anna complete cardiac testing. Anna underwent a treadmill stress test. Drastic increases in blood pressure occurred for the patients during the test. Also, a few premature ventricular contractions, which are heartbeats that start in one of the heart’s two lower chambers, were noted during the test. Ventricular tachycardia, a condition in which the lower chambers of the heart beat quickly, also occurred during the treadmill stress test, for Anna
Based on medical report dated 06/12/15, the patient reports that his left wrist is hurting significantly. He presents with pain and dysfunction of the left wrist. The patient continues to experience substantial discomfort, is frustrated by lack of progress.
The American Society of Echocardiography (ASE) established
No JVD. No cyanosis, clubbing, or edema. 2+ pulses bilaterally at the carotid artery. 1+ pulses bilaterally at radial, DP, and PT arteries. No murmur or change in cardiac status with 1 min of vigorous activity in the office.
The only known heart problems were rheumatic fever and "soldier's heart". Doctors would rely on the methods of percussion and
Cardiac causes. 4.4. Cerebrovascular causes. 4.5. Other causes.
This device measured blood pressure with an external cuff on the patient’s arm or leg Arterial Line Monitoring* IMPORTANT Remember to re-calibrate the system to each patient when attaching the line! Instructions Attach module and cable to the monitoring system Select the arterial line (ART) via the touch screen, this sets a label for the screen Select color choice and size of the waveform via the touch screen Calibrate, also known as “zeroing” the waveform by using hospital system procedures and opening the line to air while touching the “zero” button (Note: An audio tune and message on the screen will be displayed once the calibration is
I am competent in diagnostic tests such as exercise tolerance testing and Technetium stress tests, with the ability to prep the patient for the procedure, analyse the results and produce reports for consultants. I am able to work independently on analysing ambulatory monitoring devices such as a 24 hour Holter, searching for abnormalities on the ECG recording that may explain patients’ symptoms and produce written reports to assist doctors with diagnosis. Working in the cardiac catheter laboratories to assist with invasive diagnostic tests such as coronary angiography and percutaneous coronary intervention has enabled me to develop my knowledge on structural and functional abnormalities affecting the heart and coronary arteries. I have been able to develop my team working skills as the catheter labs are composed of a multi-disciplinary team consisting of cardiology consultants, registrars, nurses, radiographers and cardiac physiologists. Effective communication plays a key role in providing competent patient care and ensuring Trust standards are met.
In 1816, René Laennec had received a pregnant female with a heart malfunction as a patient. In doing so, he thought to take a sheet of paper and roll it tightly, placing it against over her heart and lower chest region, He heard her heart pulsating. The piece of paper became to be known as stethoscope. He described this
Medicine has slowly evolved over the years each year coming up with new advancements. For many years eastern medicine strived, many cultures believed in many different things but all these beliefs
The brain and nervous system are able to control both the heart rate and blood pressure due to the two carotid sinuses, that are located in the right and left carotids, and the aortic arch. The nerve endings on the outer layer of both the carotid sinuses and the aortic arch form two different nerves, which are known as baroreceptors. Baroreceptors, or receptors for pressure, send information concerning what is happening in blood vessels, particularly about stretch. The more pressure in blood vessels, the more they stretch. These pressure receivers send multiple signals to the Medulla oblongata and brainstem.
The upper (diastolic) pressure is 90 mm Hg. Pulse pressure is referred to the difference between the
In this regard, cardiovascular response to exercise occurs with changes in heart rate, cardiac output, stroke volume, peripheral vascular resistance and blood pressure/arterial pressure,
Introduction This essay will reflect on my personal experience, skills, and knowledge gained from my studies and practice of undertaking blood pressure (Bp) whilst completing my professional placement. Bp may be defined as a force of blood against vessel walls in the body, consisting of systolic and diastolic pressure measured in millimeters of mercury. (Waugh and Grant, 2016) Systolic pressure occurs when the hearts left ventricle contracts and forces blood into the aorta causing a heightened atrial pressure, while diastolic pressure refers to complete cardiac diastole, this is when the aortic valve closes and pressure is at its lowest between beats, blood moves into smaller corresponding vessels and the heart rests.
The human heart pumps blood through the arteries, which connect to smaller arterioles and then smaller capillaries. In this assignment, we will discuss the arterial blood pressure from several aspects, include definition, normal values for blood pressure, the most important factors affecting it, the mechanism involved in arterial blood pressure regulation, and the relevance between the pressure and the eye. Definition of blood pressure, it’s Normal value, and the factors that determine arterial blood pressure under physiologic conditions. Blood pressure refers to the force exerted by the blood against the inner walls of the blood vessels .