15 results
Quincke's Pulse in Severe Aortic Regurgitation

Little physical exam finding for the end of the week! Quinke’s
in Severe Aortic ... Regurgitation ... widened pulse pressure ... AorticRegurgitation #Diagnosis ... 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 ... of a wide pulse pressure ... fall in arterial pressure ... #PhysicalExam #Video
Systolic Murmurs - Differential Diagnosis Algorithm
Benign / Flow / Hyperdynamic:
 • Pregnancy
 • Fever
 • Anemia
Supravalvular
- Differential Diagnosis ... • Rupture • Endocarditis ... Systolic #Murmurs #Cardiology ... #Differential #Diagnosis ... #Algorithm #causes
Causes of Severe Aortic Regurgitation - Differential Diagnosis
Acute:
 • Leaflet: Traumatic Rupture, Acute Infective Endocarditis, Acute
Causes of Severe ... Aortic Regurgitation ... - Differential Diagnosis ... Acute Infective Endocarditis ... #Causes #cardiology
Physical Exam - Corrigan's Pulse

While the patient was sitting upright, the right carotid artery was visibly
Corrigan’s pulse and Quincke ... chronic severe aortic ... regurgitation and ... of a wide pulse pressure ... #PhysicalExam #Video
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... disorders: - Aortic ... - Aortic sclerosis ... • Infective Endocarditis ... #cardiology
Quincke's Pulse in a patient with a normal echocardiogram (non-valvular)

A 70 y/o man presents with new
PND, wide pulse pressure ... is identified (video ... Workup for cause ... AorticRegurgitation #Diagnosis ... Fingernails #Nailbed #Cardiology
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Diagnosis Physiologic ... regurgitation ... - aortic sclerosis ... #causes #cardiology
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... drop in arterial pressure ... regurgitation ... #Differential #Diagnosis ... #Algorithm #causes
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... and mitral regurgitation ... ↑ ESR, CRP • EKG ... Treat underlying cause ... #cardiology