12 results
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
Quincke's Pulse ... Severe Aortic Regurgitation ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Causes of Diastolic Murmurs - Differential Diagnosis Algorithm
Early Diastolic:
 • Aortic Regurgitation
 • Pulmonary Regurgitation (Graham-Steell
- Differential ... Diagnosis Algorithm ... • Pulmonary Regurgitation ... #Cardiology #Differential ... #Diagnosis #Algorithm
Cardiac Auscultation Maneuvers for Murmurs
Maneuvers result in INCREASED murmur:
 • Inspiration - Right-sided
 • Valsalva -
Handgrip - Mitral regurgitation ... occlusion - Mitral regurgitation ... #Cardiac #cardiology ... #physicalexam # ... diagnosis
Cardiac Murmurs and Maneuvers

An algorithm demonstrating the effect of various maneuvers on systolic murmurs. 
TR, tricuspid
Cardiac Murmurs ... TR, tricuspid regurgitation ... Maneuvers #Heart #Cardiology ... #PhysicalExam # ... Diagnosis
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
Systolic Murmurs ... - Differential ... Diagnosis Algorithm ... #Systolic #Murmurs ... #Cardiology #Differential
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
Quincke's Pulse ... highest on my differential ... AorticRegurgitation #Diagnosis ... #PhysicalExam # ... Fingernails #Nailbed #Cardiology
Peripheral Signs of Aortic Regurgitation

Corrigan sign	Prominent carotid and supraclavicular pulsations
Alfred de Musset sign	Head nodding with heart
Signs of Aortic Regurgitation ... Spleen pulsations Quincke ... and diastolic murmur ... Insufficiency #Cardiology ... #Diagnosis
Vitums Sign - Hepatic Pressure Maneuver to Identify Tricuspid Regurgitation on Physical Exam

Firm pressure with the
Identify Tricuspid Regurgitation ... murmur - Dr. ... Sign #Tricuspid #Regurgitation ... #PhysicalExam # ... diagnosis #cardiology
Abnormal Jugular Venous Pressure Waveforms - Differential Diagnosis
 - Absent a wave - Atrial fibrillation, sinus
Pressure Waveforms - Differential ... Diagnosis - Absent ... Waveforms #JVP #Differential ... #Diagnosis #PhysicalExam ... #cardiology
Extra-articular and Other Conditions Associated with Joint Pain

Eyes
  • Iritis or uveitis - Spondyloarthropathies, Sarcoidosis,
syndrome - SLE Neurologic ... fever • Aortic regurgitation ... Polymyositis • New murmur ... #joint #pain #differential ... #diagnosis #rheumatology