Method Of Exam

Author: A. Chandrasekhar

Select an appropriate size cuff .The bladder in the cuff should encircle at least half of the arm. You have to use a larger cuff in obese patients. Identify systolic blood pressure by palpatory method.

Record blood pressure in both arms, in supine and in standing position in the first clinical visit For subsequent evaluation use the arm with a higher reading. You need to evaluate supine and standing BP if there is suspicion for Orthostatic hypotension

If obstruction to vessels of lower trunk and limbs (coarctation of aorta, Lerich syndrome) is suspected measure BP in legs.