Rule Out Coarctation of the Aorta

The timing of the femoral and radial pulses is important. Normally, these pulses peak either at the same time or with the femoral pulse preceding the radial pulse. By placing one hand on the patient's femoral artery and the other on the radial artery, the examiner can determine the peaking of these pulses. This technique need be performed on one side only. Any delay in the femoral pulse should raise suspicion of coarctation of the aorta, especially in a hypertensive individual. This technique is demonstrated in Figure 15-10.

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