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We present an 11year-old boy with a weak right radial pulse, and describe the successful application of vascular ultrasound to identify the ulnar artery dominance and a thin right radial artery with below normal Doppler flow velocity that could explain the discrepancy. The implications of identifying this anomaly are discussed.

Weak Radial Artery Pulse : An Unusual Congenital Cause = النبض الضعيف في الشريان الكعبري : سبب خلقي غير عادي