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Describe the anatomical location for palpating the posterior tibial pulse and the technique to ensure accurate assessment.
Biology
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The posterior tibial pulse is felt about 2 cm below and behind the medial malleolus (the bony bump on the inside of your ankle), against the calcaneum (heel bone), and in front of the medial border of the tendocalcaneus (Achilles tendon). Because the posterior tibial artery lies deep to the flexor retinaculum, it's important to ask the patient to invert their foot to relax this retinaculum. Failing to do so can lead to mistakenly concluding that the pulse is absent.
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