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Related Concept Videos

Special considerations while measuring pulse01:13

Special considerations while measuring pulse

551
Assessing a patient's pulse is a fundamental skill in healthcare, but certain situations require special attention:
551
Assessment of radial pulse01:11

Assessment of radial pulse

772
Assessment of Radial Pulse
The radial pulse, located at the wrist, is often the preferred site for assessing peripheral pulse because of its accessibility and dependability. The process of determining the radial pulse involves several steps:
772
Pulse rhythm01:30

Pulse rhythm

740
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
740
Assessment of the Abdomen II: Percussion01:18

Assessment of the Abdomen II: Percussion

153
Percussion is a fundamental technique used to assess the liver, spleen, and abdominal organs by tapping the abdomen and interpreting the resulting sounds. This method helps identify fluid, distention, and masses through variations in sound, such as the high-pitched tympany of air-filled areas and the dullness of solid masses. Understanding how to percuss these organs provides valuable information for healthcare professionals in diagnosing conditions early.
Percussion
Percussion is an essential...
153
Assessment of apical pulse01:17

Assessment of apical pulse

787
Assessing the Apical Pulse
Assessing the apical pulse is a critical nursing procedure, particularly indicated for:
787
Pulse01:16

Pulse

406
When the heart pumps blood out, arterial elastic fibers play a crucial role in sustaining a high-pressure gradient. They expand to accommodate the received blood and then recoil - a process known as the pulse that can be either manually palpated or electronically quantified. Despite a reduction in its effect with increased distance from the heart, elements of the pulse's systolic and diastolic components persist, observable even at the arteriole level.
The pulse serves as a clinical...
406

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Updated: May 20, 2025

Visualizing Motion Patterns in Acupuncture Manipulation
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Pendulums in medical practice.

Mathias E Kant1

  • 1Pennsylvania State College of Medicine, Hershey, Pennsylvania, USA.

The Medico-Legal Journal
|March 27, 2025
PubMed
Summary
This summary is machine-generated.

Medical practice often shifts between extremes, impacting patient care. Physicians should use all evidence to make informed decisions, prioritizing patient well-being over fluctuating standards of care.

Keywords:
ECThormone replacement therapymedical pendulumsmedico-legalopiate addictionopiate prescribingpain relief

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Area of Science:

  • Medical Ethics
  • History of Medicine
  • Clinical Practice

Background:

  • Medicine is often practiced as an art, influenced by public scrutiny and evolving standards of care.
  • The "standard of care" is a dynamic construct, frequently swinging between extremes.
  • Historical examples include opiate prescribing, electroconvulsive therapy, and hormone replacement therapy.

Purpose of the Study:

  • To highlight the "pendulum swings" in medical practices and their impact on patient care.
  • To examine how controversial areas in medicine evolve and influence clinical decisions.
  • To advocate for evidence-based practice that transcends temporary trends.

Main Methods:

  • Qualitative analysis of historical medical practices.
  • Review of literature on controversial medical treatments and research funding.
  • Case examples illustrating shifts in the standard of care.

Main Results:

  • Medical practices, such as opiate prescribing and hormone replacement, have historically undergone significant reversals.
  • Current debates on marijuana and hallucinogen use exemplify ongoing shifts in medical acceptance.
  • Extreme practice swings have led to patient harm.

Conclusions:

  • Physicians must consider the full spectrum of medical evidence, not just the current standard of care.
  • Courage and wisdom are needed to advocate for patients amidst evolving medical trends.
  • A balanced, evidence-based approach is crucial for optimal patient outcomes.