Carotid and Jugular exam

[joshamu]

thanks dude

[Cheschire7]

You do actually feel for the carotids with your thumb. their pulsation is much more powerful than anything you'd feel in your thumb, so you don't run the risk of getting confused. As per the other discussion, in Ireland med school we are taught to auscultate last. When you palpate first, at least you know you are listening where you ought to be. All our textbooks concur! :)

[TeslaDRay]

this sounds old, like from 80's.

[bazamah]

I was always taught to palpate gently for a thrill then auscultate.

[abosbet]

U can use ur thumb to feel the pulse of the brachial artery, popliteal artery and the carotid artery

Macleod's clinical examination 12ed

have a nice day

[allthewayanuja]

nice vid keep it up

[yauhoilun]

auscultate before you palpate

[Soger91]

@yauhoilun palpate before you auscultate, not the other way round

[yauhoilun]

@Soger91 if you palpate first then you risk dislodging the clot but if you auscultate first then you can identify it by picking up bruits....simple concept come on

[Soger91]

@yauhoilun what´s the point of palpating after you´ve already found the carotid. Also, by your definition, professionals in the world do it wrong.

[yauhoilun]

@Soger91 you palpate because you want to assess the rate rhythm amplitude upstroke of the carotid pulse. auscultation only identifies bruits indicating narrowing of the carotid. and you always auscultate first because if you hear a bruit then there is narrowing and you will then not palpate because you might dislodge a clot and give the patient a stroke. is that not obvious to you?

[Soger91]

@yauhoilun not really, considering every single medical school teaches it as "palpation first, then auscultation"

[silatk]

@Soger91 Odd most textbooks and schools to always first auscultate first then palpate. And this applies to most of the body.

[silatk]

@Soger91 Most professional in the world auscultate first then palpate. This I saw in France, The Netherlands, Mexico, Spain, Peru, Thailand, and England. Not sure about the rest of the world but there is a reason as to why first auscultate and then palpate. Text books at times have major mistakes.

[tmz881]

i did not understand tell know what is the different when i use the bile or the diaphragm in the stethescope ??

[urlacher64]

By the way, with someone this age, you should listen for a bruit before feeling the carotid pulse to avoid dislodging an atheromatous plaque and precipitate a stroke

[utubeaccount00]

I would not trust USA Medical Student to determine if this man is unhappy or not.

[arti115]

u dont use your thumb to feel for any pulse: the thumb has a pulse of its own!

[italiano77077]

@arti115 It does have a pulse of its own. However, the carotid pulse is so strong that you can clearly distinguish it from the pulse in your thumb.

[cj397]

@italiano77077 you dont use your thumb. stop.

[italiano77077]

@cj397 I never said you should use your thumb haha. I was just replying to arti's post. When did I say anything about how to check for a pulse?

[diacilglicerol]

@arti115 dont be an ass, u wont confuse the carotid pulse with ur thumb's! ¬¬

[lovycat29]

@arti115 Not to sound smart, but i learnt yesterday that some medical colleges fail their final year students if they use the wrong finger(s) to feel for the carotid artery. the doctor taught us to use the thumb.

[ToothEnvy]

@arti115

You're right for palpating other pulses, but feeling for the carotid pulse is the exception I think. My medical school taught me to use my thumb as well.

[cabbalistic]

@ToothEnvy

So did mine. If you press the thumb against another digit, you hardly feel any pulse. It can't possibly negate the perception of a strong carotid pulse.

[tyler06stephen]

this guys voice puts me to sleep T__T

[LizPinkGrl16]

Sounds like someone is just angry. Try being happy, it will help your health.

Sincerely,

USA Medical Student

[ssehram]

@ LizpinkGrl16- If it is not the Anger Of Rosa Parks.. the Black People still SALVE to you white Girl?

You are HYPOCRITE..Leave Medical School. Read the Book.. "Natural Cures" by Kevin Trudeau ..just one out of thousands they DO NOT teach in "fake" USA Medical School..lol.. QUACKS..USA ..

[kuotiffany]

very good v

[muhammadbinmeor]

how many cm is the normal JVP?

[TheMuzna]

normal JVP is below 3cm

[bucketbot]

2-3cm is considered normal

[aniis2003]

is it normal to be able to see the pulsation of jugular veins at 45 DEGREES?

[bitchbot99]

cool good video for review.

[maestrovoci]

low tech

[tungstencalais]

great video

[monkeyintrouble]

Great Thanks! It's OSCE time!