11 results
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
in Severe Aortic ... Regurgitation ... arterial pressure ... #PhysicalExam #Fingernails ... #Nailbed #Cardiology
Physical Exam - Quincke’s Pulse

The tips of the patient’s index finger and thumb as well as
chronic severe aortic ... regurgitation and ... 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 ... regurgitation ... #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
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential ... drop in arterial pressure ... regurgitation ... Abnormalities #Disorders #Cardiology ... Diagnosis #Algorithm #causes
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Aortic Regurgitation ... Valvuoplasty • Aorta ... Dysfunction Chronic - Aorta ... #Causes #cardiology
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... the wall of the aorta ... Examine for: • Pulse ... deficit/differential ... 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 ... Workup for cause ... highest on my differential ... #PhysicalExam #Fingernails ... #Nailbed #Cardiology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
tract, and often causes ... < 30 years - Aorta ... branches • GCA: - Aorta ... diminished, or tender pulses ... Vessel: Blood pressure
Newborn Infant - Routine Examination

Birthweight, gestational age and birthweight percentile are noted.
General observation Of the baby's
intra-abdominal masses ... The femoral pulses ... Their pulse pressure ... coarctation of the aorta ... Examination #Peds #Pediatrics