11 results
Quincke's Pulse in Severe Aortic Regurgitation

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

The tips of the patient’s index finger and thumb as well as
chronic severe aortic ... pressure with large ... #PhysicalExam # ... Video #Fingernails ... AorticRegurgitation #Signs #Cardiology
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Pressure - Differential ... disorders: - aortic ... #Pressure #Differential ... #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 ... #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Examine for: • Pulse ... deficit/differential ... deficit • Shock ... Control blood pressure
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
pressure (~100 ... highest on my differential ... AorticRegurgitation #Diagnosis #PhysicalExam ... #Fingernails #Nailbed ... #Cardiology
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wide vs. narrow pulse ... pressure • Pulm ... anaphylaxis, toxins/meds ... #criticalcare #differential ... #causes #classification
Shock Overview
A state of tissue hypoxia due to decreased or dysregulated oxygen delivery or extraction, resulting
wide vs. narrow pulse ... pressure • Pulm ... anaphylaxis, toxins/meds ... #criticalcare #differential ... #causes #classification
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... blocking agent • Shock ... Raised Intracranial Pressure ... Tachy-Brady syndrome • Aortic ... #cardiology #BRADI