11 results
Dancing Carotids - Corrigan's Pulse in severe Aortic Regurgitation on Physical Exam

Patient referred for palpitations and
Dancing Carotids ... in severe Aortic ... pressure > 80 mmHg ... AorticRegurgitation #PhysicalExam ... #video #neck #cardiology
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
in Severe Aortic ... relate to the high stroke ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... Diagnosis Algorithm ... drop in arterial pressure ... Abnormalities #Disorders #Cardiology ... #Differential #
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
chronic severe aortic ... pressure with large ... systolic stroke ... #PhysicalExam # ... AorticRegurgitation #Signs #Cardiology
Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
chronic severe aortic ... pressure with large ... systolic stroke ... #PhysicalExam # ... AorticRegurgitation #Signs #Cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
Widened Pulse Pressure ... Pulse pressure ... Pulse Pressure = ... #Pressure #Differential ... #causes #cardiology
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... Diagnosis Physiologic ... #Pressure #Differential ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
Examine for: • Pulse ... deficit/differential ... BP • New AR ... Control blood pressure ... #Dissection #diagnosis
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
pressure (~100 ... state (not always AR ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam #
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Diagnosis Framework ... Palpable purpura: strong ... diminished, or tender pulses ... bruis, or blood pressure ... Vessel: Blood pressure