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How to examine for Femoral pulse:an OSCE guide

The femoral pulse is palpated over the ventral thigh between the pubic symphysis and anterior superior iliac spine with the middle and index fingers.
How to examine for femoral pulse?
  • Ask the patient to lie supine,
  • Make the leg partially flexed: abduct and externally rotate the hip,
  • Feel the pulse below the midinguinal point.
Comment on the following
  • Rate, rhythm, character, volume.
  • Character of the vessel wall.
  • Palpability of all vessels.
  • Radio-femoral delay.
Clinical significance
Examination of peripheral pulse is imporatant for detection of radiofemoral delay

This is very important for students preparing for USMLE and MRCP