20 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
Causes of Wide Pulse Pressure - Differential Diagnosis
Physiologic:
 • Advanced age-arteriosclerosis (less compliant arteries)
 • Well
Causes of Wide Pulse ... Diagnosis Physiologic ... : - aortic ... regurgitation ... #causes #cardiology
Widened Pulse Pressure - Differential Diagnosis and Pathophysiology

Pulse pressure is the difference between the systolic blood
: • Valvular disorders ... : - Aortic regurgitation ... - Aortic sclerosis ... Myeloproliferative disorders ... #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
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
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
- Differential Diagnosis ... drop in arterial pressure ... regurgitation ... Abnormalities #Disorders ... #causes
Aortic Dissection Pearls
Aortic dissection is caused by a tear in the tunica intima, the innermost layer
is caused by a ... Connective tissue disorder ... e.g. ... Control blood pressure ... #Dissection #diagnosis
Causes of Secondary Hypertension - Workup and Differential Diagnosis
Approach (when evaluation should be done):
1. Severe or
and Differential Diagnosis ... with electrolyte disorders ... Coarctation of aorta ... Neurologic disorders ... #Differential #Diagnosis
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
- Differential Diagnosis ... Raised Intracranial Pressure ... • Congenital disorders ... Tachy-Brady syndrome • Aortic ... #causes #cardiology