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ankle pulse site

by Carley Anderson Sr. Published 3 years ago Updated 2 years ago

The dorsalis pedis pulse is palpable on the dorsum of the foot in the first intermetatarsal space just lateral to the extensor tendon of the great toe. The posterior tibial pulse can be felt behind and below the medial malleolus.

Full Answer

What are the 9 pulse sites?

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Where are pulse sites located?

Upper limb

  • Axillary pulse: located inferiorly of the lateral wall of the axilla
  • Brachial pulse: located on the inside of the upper arm near the elbow, frequently used in place of carotid pulse in infants ( brachial artery)
  • Radial pulse: located on the lateral of the wrist ( radial artery ). ...
  • Ulnar pulse: located on the medial of the wrist ( ulnar artery ).

Where are the pulse points located?

  • radial pulse. located at the thumb side of the wrist.
  • carotid pulse. used during emergencies and when performing CPR.
  • brachial pulse. found in inner elbow commonly used to obtain b/p measurements.
  • temporal pulse.
  • femoral pulse.
  • popliteal pulse.
  • dorsalis pedis pulse.
  • Apical pulse.

Where is the pulse in the ankle?

Pulse and blood pressure measurements taken in different areas of the body help diagnose peripheral arterial disease. Pulse In the legs, doctors will commonly feel for pulses in the femoral (groin), popliteal (back of the knee), posterior tibial (ankle), and dorsalis pedis (foot) areas.

Where is the ankle pulse located?

Two possible pedal pulse positions to check Check for either the dorsalis pedis pulse (on the top of the foot) or the posterior tibial pulse (located behind the medial malleolus — the ankle bone).

What pulse point is behind the ankle?

posterior tibial pulse pointThe posterior tibial pulse point is found on the inside of the ankle between the medial malleolus (bony part of the ankle bone) and Achilles tendon.

Is there a pulse in your ankle?

In the legs, doctors will commonly feel for pulses in the femoral (groin), popliteal (back of the knee), posterior tibial (ankle), and dorsalis pedis (foot) areas.

How do you check pulse around ankle?

0:050:40Dorsalis Pedis and Posterior Tibial Pulses - YouTubeYouTubeStart of suggested clipEnd of suggested clipAlso you can find the posterior tibialis pulse. But finding the medial malleolus which is a littleMoreAlso you can find the posterior tibialis pulse. But finding the medial malleolus which is a little bumped on the medial side of the foot.

What are the three major pulse points?

The pulse is readily distinguished at the following locations: (1) at the point in the wrist where the radial artery approaches the surface; (2) at the side of the lower jaw where the external maxillary (facial) artery crosses it; (3) at the temple above and to the outer side of the eye, where the temporal artery is ...

What is the pulse on the foot called?

dorsalis pedis pulseThe dorsalis pedis pulse is palpable on the dorsum of the foot in the first intermetatarsal space just lateral to the extensor tendon of the great toe.

What are the 7 pulse points?

There are seven types of pulse.Temporal: It is felt in the head.Carotid: It is felt in the neck.Branchial: It is felt in the elbow.Femoral: It is felt at the groin.Radial: It is felt on the wrist.Popliteal: It is felt on the knee.Dorsalis pedis: It is felt on the foot.

Where is anterior tibial pulse?

The anterior tibial artery pulse can be palpated near the origin of the dorsalis pedis artery on the dorsum of the foot lateral to the extensor hallucis longus tendon.

Where do you find the dorsalis pedis pulse?

1:012:04Dorsalis Pedis and Posterior Tibial Pulse Point Nursing AssessmentYouTubeStart of suggested clipEnd of suggested clipFound between the back of the medial. Malleolus. Which is the bony prominence of the ankle bone. AndMoreFound between the back of the medial. Malleolus. Which is the bony prominence of the ankle bone. And Achilles tendon so you'll find it within this area right here.

Why is the dorsalis pedis pulse taken?

To evaluate patients with arterial disease, palpation of periph- eral arterial pulse is commonly used. In lower limb, palpation of dorsalis pedis artery is used to evaluate the arteriosclerotic dis- eases. Dorsalis pedis artery is the main source of blood supply to the foot.

Where is the distal pulse?

[3] It is palpated distally to the inguinal ligament at a point less than halfway from the pubis to the anterior superior iliac spine. The posterior tibial pulse may be the most difficult to palpate, especially among less experienced clinicians. [4] It is located immediately posterior to the medial malleolus.

Where is the post tibial pulse?

The posterior tibial artery pulse can be readily palpated halfway between the posterior border of the medial malleolus and the Achilles tendon. It is often examined by clinicians when assessing a patient for peripheral vascular disease. It is very rarely absent in young and healthy individuals.

Where to get a good sign for leg circulation?

get one at the ankle. That's a good sign, for were leg circulation

What does lack of pulses in such areas indicate?

Lack of strong pulses in such areas indicates the leg arteries. are most likely clogged. Your doctor had trouble finding a knee pulse but he could. get one at the ankle. That's a good sign, for were leg circulation. dangerously poor, the pulse would be as weak at the ankle. as at the knee.

Where do you feel pulses?

In the legs, doctors will commonly feel for pulses in the femoral (groin), popliteal (back of the knee), posterior tibial (ankle), and dorsalis pedis (foot) areas. Your doctor will listen to your pulse with a stethoscope for a "whooshing" sound called a bruit (say "broo-E"). Likewise, why can I feel my leg pulsing?

Where do doctors listen to pulses?

Pulse. In the legs, doctors will commonly feel for pulses in the femoral (groin), popliteal (back of the knee), posterior tibial (ankle), and dorsalis pedis (foot) areas. Your doctor will listen to your pulse with a stethoscope for a "whooshing" sound called a bruit (say "broo-E").

How many pulses should be in each foot?

In each foot, there should be two pulses that are easily detected by a trained physician. This test is performed to determine whether the blood flow to your feet is normal. “For most people, blood pressure in the foot should be similar to the blood pressure in the arm.

Who should measure ankle brachial index?

Asymptomatic individuals who should measure their Ankle Brachial Index to rule out early stages of peripheral vascular diseases include chain smokers, diabetic patients over 50 years of age, people with a family history of cardiovascular diseases, and people with high cholesterol levels. Thanks!

How to find the brachial artery?

Locate the brachial artery. Use your index and middle finger to locate the pulse site. Do not use your thumb because it has its own pulse that could make finding your patient’s pulse more difficult. The brachial pulse is usually felt just above the antecubital fossa--the middle part of the elbow bend.

What is the normal brachial index for a patient with ABI?

Record and interpret the result. The normal resting ankle brachial index is 1.0 to 1.4. The closer the ABI of the patient to 1, the better the result is. This means that the arm blood pressure should be as close as possible to the ankle blood pressure.

What is systolic pressure?

Systolic pressure describes the maximum arterial pressure created by the contraction of the heart’s left ventricle.

Where is the dorsalis pedis artery?

Locate the dorsalis pedis artery. The dorsalis pedis (DP) artery is located on the upper surface of the foot, right near where the foot meets the ankle. Spread ultrasound gel on this upper area of the foot. Use a Doppler probe to located the strongest point of the DP.

Where is the PT located in ABI?

The PT is located about one-fourth of the way up the back side of the calf. Place ultrasound gel on the area and use the Doppler probe to find the spot where the PT pulse is the strongest.

What is the ABI in the arm?

The Ankle Brachial Index (ABI) is the ratio of the blood pressure in the lower leg or ankle to the blood pressure in the arm. Knowing the ABI is important because it can be used as an indicator of Peripheral Arterial Disease (PAD). Peripheral arteries in the body can be affected in the same way as coronary arteries (arteries of the heart). They may get clogged with cholesterol or become stiff due to calcification. A significant difference between the blood pressure in the lower legs and arms may indicate a diseased peripheral artery. This disease can lead to more serious medical problems such as stroke and heart failure.

Where is the femoral pulse located?

The femoral pulse is located between the anterior superior iliac spine and the pubic bone. Femoral pulse examination includes two parts: Palpation. Many people like to use the same hand every time for palpating. It is better to use one hand (your ‘palpating hand’) rather than to place both hands one next to the other.

Where is the popliteal pulse?

The popliteal pulse can be felt behind the knee, toward the lateral aspect of the popliteal fossa. Often, the popliteal pulse is obscured by the gastrocnemius muscle. This means that it is not uncommon to need to press deeply between the gastrocnemius. muscle heads to feel the pulse.

What is the vital part of a vascular physical exam?

A vital part of the vascular physical examination is the pulse examination. It is not uncommon to see medical charts in which only specific pulses are palpated (e.g. the radial pulse). It is even more common to see charts with inaccurate descriptions of the pulse examination.

What is a handheld doppler?

If you are not sure about a pulse location or about the quality of your pulse examination, using a handheld Doppler machine can be useful. A Doppler can help locate the correct pulse location as well as corroborate pulse quality.

How many pulses should be examined in the legs?

Four pulses should be examined in the legs. In my opinion every adult patient should have these pulses documented at least once in their chart for baseline, and then again if lower extremity symptoms appear:

Which is the hardest pulse examination?

Seasoned vascular examiners will tell you that the posterior tibial artery examination is the hardest of the lower extremity pulse examinations. Proper technique requires accurate foot positioning as well as patience:

Where is the dorsalis pedis?

The typical location of the dorsalis pedis pulse is over the foot arch, between the 1st and 2nd toes.

Where is the pulse palpated?

The pulse may be palpated in any place that allows an artery to be compressed near the surface of the body, such as at the neck (carotid artery), wrist (radial artery), at the groin (femoral artery), behind the knee (popliteal artery), near the ankle joint (posterior tibial artery), and on foot (dorsalis pedis artery).

Where is the posterior tibial pulse felt?

The posterior tibial pulse can be felt behind and below the medial malleolus. Gently flex the knee and feel for the popliteal pulse by deep palpation in midline in popliteal fossa.

What to do if you can't find the pedal pulse?

If you are unable to find the pedal pulse on one leg, switch to the patient's other leg. Knowing the location of one pulse might help you find the other.

How to check for a foot injury?

Move shoes, socks, tights, and anklets out of the way to expose the patient's skin. 3. Reposition the foot to normal. Move, if not compromised by injury, the patient's foot towards the normal anatomical position. 4. Two possible pedal pulse positions to check.

Where is the dorsalis pedis?

Check for either the dorsalis pedis pulse (on the top of the foot) or the posterior tibial pulse (located behind the medial malleolus — the ankle bone).

How to visualize dorsalis pedis?

If you are unable to see anything, hold two or more fingers lightly against the skin. Move up from the toes towards the leg until you locate the pulse. 6. Use two or more fingers.

Is a patient's foot perfused?

Finally, if the patient's foot is warm with normal color, it is adequately perfused.

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      • 19. /vendor/outl1ne/nova-menu-builder/src/Models/Menu.php:35
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      • 22. /vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 23. /vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:45
      • 24. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:261
    • select * from `nova_menu_menu_items` where `nova_menu_menu_items`.`parent_id` in (1) order by `order` asc
      280μs/vendor/outl1ne/nova-menu-builder/src/Models/Menu.php:35receivinghelpdeskask
      Metadata
      Backtrace
      • 24. /vendor/outl1ne/nova-menu-builder/src/Models/Menu.php:35
      • 25. /vendor/outl1ne/nova-menu-builder/src/helpers.php:33
      • 27. /vendor/laravel/framework/src/Illuminate/Routing/Controller.php:54
      • 28. /vendor/laravel/framework/src/Illuminate/Routing/ControllerDispatcher.php:45
      • 29. /vendor/laravel/framework/src/Illuminate/Routing/Route.php:261
    • select `id`, `post_title`, `slug` from `posts` where `status` = 'publish' and `posts`.`deleted_at` is null order by RAND() limit 10
      3.91s/app/View/Composers/SidebarView.php:22receivinghelpdeskask
      Metadata
      Bindings
      • 0. publish
      Backtrace
      • 14. /app/View/Composers/SidebarView.php:22
      • 15. /app/View/Composers/SidebarView.php:12
      • 16. /vendor/laravel/framework/src/Illuminate/View/Concerns/ManagesEvents.php:124
      • 17. /vendor/laravel/framework/src/Illuminate/View/Concerns/ManagesEvents.php:162
      • 20. /vendor/laravel/framework/src/Illuminate/View/Concerns/ManagesEvents.php:177
    • select * from `fake_users` where `fake_users`.`id` = 43022 limit 1
      900μsview::2dd102cf0462e89a4d4d8bc77355d767652bf9aa:15receivinghelpdeskask
      Metadata
      Bindings
      • 0. 43022
      Backtrace
      • 21. view::2dd102cf0462e89a4d4d8bc77355d767652bf9aa:15
      • 23. /vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:108
      • 24. /vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
      • 25. /vendor/livewire/livewire/src/ComponentConcerns/RendersLivewireComponents.php:69
      • 26. /vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:61
    App\Models\FakeUser
    1
    Outl1ne\MenuBuilder\Models\MenuItem
    1
    Outl1ne\MenuBuilder\Models\Menu
    1
    App\Models\JsonPostContent
    1
    App\Models\Post
    11
        _token
        mPFOFRoa9cBAte19vLt5i1pKRpICS9EmPZH94tng
        _previous
        array:1 [ "url" => "https://receivinghelpdesk.com/ask/ankle-pulse-site" ]
        _flash
        array:2 [ "old" => [] "new" => [] ]
        PHPDEBUGBAR_STACK_DATA
        []
        path_info
        /ankle-pulse-site
        status_code
        200
        
        status_text
        OK
        format
        html
        content_type
        text/html; charset=UTF-8
        request_query
        []
        
        request_request
        []
        
        request_headers
        0 of 0
        array:24 [ "cf-ipcountry" => array:1 [ 0 => "US" ] "cf-connecting-ip" => array:1 [ 0 => "18.216.211.173" ] "cdn-loop" => array:1 [ 0 => "cloudflare; loops=1" ] "cf-visitor" => array:1 [ 0 => "{"scheme":"https"}" ] "sec-fetch-site" => array:1 [ 0 => "none" ] "accept" => array:1 [ 0 => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" ] "user-agent" => array:1 [ 0 => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" ] "upgrade-insecure-requests" => array:1 [ 0 => "1" ] "sec-ch-ua-platform" => array:1 [ 0 => ""Windows"" ] "sec-ch-ua-mobile" => array:1 [ 0 => "?0" ] "sec-ch-ua" => array:1 [ 0 => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129"" ] "cache-control" => array:1 [ 0 => "no-cache" ] "pragma" => array:1 [ 0 => "no-cache" ] "sec-fetch-dest" => array:1 [ 0 => "document" ] "cf-ray" => array:1 [ 0 => "9357f6b1ed3c10e6-ORD" ] "accept-encoding" => array:1 [ 0 => "gzip, br" ] "priority" => array:1 [ 0 => "u=0, i" ] "sec-fetch-user" => array:1 [ 0 => "?1" ] "sec-fetch-mode" => array:1 [ 0 => "navigate" ] "connection" => array:1 [ 0 => "close" ] "x-forwarded-proto" => array:1 [ 0 => "https" ] "x-forwarded-for" => array:1 [ 0 => "18.216.211.173, 172.71.1.151" ] "x-server-addr" => array:1 [ 0 => "154.12.239.204" ] "host" => array:1 [ 0 => "receivinghelpdesk.com" ] ]
        request_server
        0 of 0
        array:55 [ "USER" => "runcloud" "HOME" => "/home/runcloud" "SCRIPT_NAME" => "/ask/index.php" "REQUEST_URI" => "/ask/ankle-pulse-site" "QUERY_STRING" => "" "REQUEST_METHOD" => "GET" "SERVER_PROTOCOL" => "HTTP/1.0" "GATEWAY_INTERFACE" => "CGI/1.1" "REDIRECT_URL" => "/ask/ankle-pulse-site" "REMOTE_PORT" => "52294" "SCRIPT_FILENAME" => "/home/runcloud/webapps/ReceivingHelpDesk/ask/index.php" "SERVER_ADMIN" => "you@example.com" "CONTEXT_DOCUMENT_ROOT" => "/home/runcloud/webapps/ReceivingHelpDesk/" "CONTEXT_PREFIX" => "" "REQUEST_SCHEME" => "http" "DOCUMENT_ROOT" => "/home/runcloud/webapps/ReceivingHelpDesk/" "REMOTE_ADDR" => "172.71.1.151" "SERVER_PORT" => "80" "SERVER_ADDR" => "127.0.0.1" "SERVER_NAME" => "receivinghelpdesk.com" "SERVER_SOFTWARE" => "Apache/2.4.63 (Unix) OpenSSL/1.1.1f" "SERVER_SIGNATURE" => "" "LD_LIBRARY_PATH" => "/RunCloud/Packages/apache2-rc/lib" "PATH" => "/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin" "HTTP_CF_IPCOUNTRY" => "US" "HTTP_CF_CONNECTING_IP" => "18.216.211.173" "HTTP_CDN_LOOP" => "cloudflare; loops=1" "HTTP_CF_VISITOR" => "{"scheme":"https"}" "HTTP_SEC_FETCH_SITE" => "none" "HTTP_ACCEPT" => "text/html,application/xhtml+xml,application/xml;q=0.9,image/avif,image/webp,image/apng,*/*;q=0.8,application/signed-exchange;v=b3;q=0.7" "HTTP_USER_AGENT" => "Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)" "HTTP_UPGRADE_INSECURE_REQUESTS" => "1" "HTTP_SEC_CH_UA_PLATFORM" => ""Windows"" "HTTP_SEC_CH_UA_MOBILE" => "?0" "HTTP_SEC_CH_UA" => ""HeadlessChrome";v="129", "Not=A?Brand";v="8", "Chromium";v="129"" "HTTP_CACHE_CONTROL" => "no-cache" "HTTP_PRAGMA" => "no-cache" "HTTP_SEC_FETCH_DEST" => "document" "HTTP_CF_RAY" => "9357f6b1ed3c10e6-ORD" "HTTP_ACCEPT_ENCODING" => "gzip, br" "HTTP_PRIORITY" => "u=0, i" "HTTP_SEC_FETCH_USER" => "?1" "HTTP_SEC_FETCH_MODE" => "navigate" "HTTP_CONNECTION" => "close" "HTTP_X_FORWARDED_PROTO" => "https" "HTTP_X_FORWARDED_FOR" => "18.216.211.173, 172.71.1.151" "HTTP_X_SERVER_ADDR" => "154.12.239.204" "HTTP_HOST" => "receivinghelpdesk.com" "HTTPS" => "on" "REDIRECT_STATUS" => "200" "REDIRECT_HTTPS" => "on" "FCGI_ROLE" => "RESPONDER" "PHP_SELF" => "/ask/index.php" "REQUEST_TIME_FLOAT" => 1745522486.175 "REQUEST_TIME" => 1745522486 ]
        request_cookies
        []
        
        response_headers
        0 of 0
        array:7 [ "content-type" => array:1 [ 0 => "text/html; charset=UTF-8" ] "cache-control" => array:1 [ 0 => "private, must-revalidate" ] "date" => array:1 [ 0 => "Thu, 24 Apr 2025 19:21:26 GMT" ] "pragma" => array:1 [ 0 => "no-cache" ] "expires" => array:1 [ 0 => -1 ] "set-cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6ImpDbjBIdUUvNisvTEs2a25nRlgxeWc9PSIsInZhbHVlIjoiaEJBdkJJTVVaREh5MzhPdk42U1RMY1o4UTJNaGtYOW1xdFRIK0U0R1gwRndZcUdPUHBVSzBhZ3gyZ2ErTXZ6bDFZYU1VQW50RGZVSjdpNk5lS2prSzlsamU0TVVDNnZZUUREQThJTTlSMXB1K0xWWGpFUUhVM2lGTmV5MUlIUTkiLCJtYWMiOiI1YmEzZTc5ODIwNjNmM2Y1OTYwZGViMmJmMzc1OGVhOWYwYzEyNDU0MzdlOTRhYzA2NTM3Njg5MWYxNDE1ZWJmIiwidGFnIjoiIn0%3D; expires=Thu, 24-Apr-2025 21:21:30 GMT; Max-Age=7200; path=/; samesite=laxXSRF-TOKEN=eyJpdiI6ImpDbjBIdUUvNisvTEs2a25nRlgxeWc9PSIsInZhbHVlIjoiaEJBdkJJTVVaREh5MzhPdk42U1RMY1o4UTJNaGtYOW1xdFRIK0U0R1gwRndZcUdPUHBVSzBhZ3gyZ2ErTXZ6bDFZYU1VQ" 1 => "askhelpdesk_session=eyJpdiI6IlIyaHNKU1ExNHpQdGI1R21QeTMwalE9PSIsInZhbHVlIjoiTTVFbXJiaURsbmZGU3NaQk9tVjgrb2dlUUUvS0daT2JZazJZRTcwZDIzSC9qaFIvK3JPU3R5K3hBbEVkQjFzV1E3QVdaRFRwRmowNHdtT3BxK2F2Umw3VnUyR0Q0NHNvZklReFNzZWhZMDByTDJtVjNDcDQzSWtlandWYURzd3ciLCJtYWMiOiI1ZWI1NjQxM2M5NzczNjMwMmRmY2UyZTcxZjg4MDhjNmZlMGI3NWE5MzAwZmYyZGJiODY2ZjJlYTc3Nzk5MzY5IiwidGFnIjoiIn0%3D; expires=Thu, 24-Apr-2025 21:21:30 GMT; Max-Age=7200; path=/; httponly; samesite=laxaskhelpdesk_session=eyJpdiI6IlIyaHNKU1ExNHpQdGI1R21QeTMwalE9PSIsInZhbHVlIjoiTTVFbXJiaURsbmZGU3NaQk9tVjgrb2dlUUUvS0daT2JZazJZRTcwZDIzSC9qaFIvK3JPU3R5K3hBbEVkQjFz" ] "Set-Cookie" => array:2 [ 0 => "XSRF-TOKEN=eyJpdiI6ImpDbjBIdUUvNisvTEs2a25nRlgxeWc9PSIsInZhbHVlIjoiaEJBdkJJTVVaREh5MzhPdk42U1RMY1o4UTJNaGtYOW1xdFRIK0U0R1gwRndZcUdPUHBVSzBhZ3gyZ2ErTXZ6bDFZYU1VQW50RGZVSjdpNk5lS2prSzlsamU0TVVDNnZZUUREQThJTTlSMXB1K0xWWGpFUUhVM2lGTmV5MUlIUTkiLCJtYWMiOiI1YmEzZTc5ODIwNjNmM2Y1OTYwZGViMmJmMzc1OGVhOWYwYzEyNDU0MzdlOTRhYzA2NTM3Njg5MWYxNDE1ZWJmIiwidGFnIjoiIn0%3D; expires=Thu, 24-Apr-2025 21:21:30 GMT; path=/XSRF-TOKEN=eyJpdiI6ImpDbjBIdUUvNisvTEs2a25nRlgxeWc9PSIsInZhbHVlIjoiaEJBdkJJTVVaREh5MzhPdk42U1RMY1o4UTJNaGtYOW1xdFRIK0U0R1gwRndZcUdPUHBVSzBhZ3gyZ2ErTXZ6bDFZYU1VQ" 1 => "askhelpdesk_session=eyJpdiI6IlIyaHNKU1ExNHpQdGI1R21QeTMwalE9PSIsInZhbHVlIjoiTTVFbXJiaURsbmZGU3NaQk9tVjgrb2dlUUUvS0daT2JZazJZRTcwZDIzSC9qaFIvK3JPU3R5K3hBbEVkQjFzV1E3QVdaRFRwRmowNHdtT3BxK2F2Umw3VnUyR0Q0NHNvZklReFNzZWhZMDByTDJtVjNDcDQzSWtlandWYURzd3ciLCJtYWMiOiI1ZWI1NjQxM2M5NzczNjMwMmRmY2UyZTcxZjg4MDhjNmZlMGI3NWE5MzAwZmYyZGJiODY2ZjJlYTc3Nzk5MzY5IiwidGFnIjoiIn0%3D; expires=Thu, 24-Apr-2025 21:21:30 GMT; path=/; httponlyaskhelpdesk_session=eyJpdiI6IlIyaHNKU1ExNHpQdGI1R21QeTMwalE9PSIsInZhbHVlIjoiTTVFbXJiaURsbmZGU3NaQk9tVjgrb2dlUUUvS0daT2JZazJZRTcwZDIzSC9qaFIvK3JPU3R5K3hBbEVkQjFz" ] ]
        session_attributes
        0 of 0
        array:4 [ "_token" => "mPFOFRoa9cBAte19vLt5i1pKRpICS9EmPZH94tng" "_previous" => array:1 [ "url" => "https://receivinghelpdesk.com/ask/ankle-pulse-site" ] "_flash" => array:2 [ "old" => [] "new" => [] ] "PHPDEBUGBAR_STACK_DATA" => [] ]