12 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
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
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 ... EtOH causes thiamine ... AorticRegurgitation #Diagnosis
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
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
- Differential Diagnosis ... Physiologic Causes ... disorders: - Aortic ... - Aortic sclerosis ... #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
Aortic dissection on Cardiac CTA

This is a amazing gated CTA showing a real time cine clip
variable blood pressures ... Diagnosis is usually ... made by a CT scan ... The diagnosis can ... #radiology #aorta
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 ... Marantic: Emboli > Regurgitation ... block, annular or aortic
Palpitations - Differential Diagnosis Framework

What?
• It is an unpleasant awareness or sensation that the heart is
., aortic insufficiency ... Severe mitral regurgitation ... • Severe aortic ... regurgitation ... #Palpitations #Cardiology