12.11.20 Clinic notes

AS severity

• • Soft S2

  • Radiates to carotids

  • Mean pressure gradient across valve >40 mmHg

Aortic insufficiency

• • Large-volume pulse

  • Collapsing pulse

  • Corrigan's pulse

    • Rapid upstroke and collapse of the carotid artery pulse

  • Low diastolic pressure

  • Increased pulse pressure

  • de Musset's sign (head nodding in time with the heart beat)

  • Quincke's sign (pulsation of the capillary bed in the nail)

  • Traube's sign (a 'pistol shot' systolic sound heard over the femoral artery)

  • Duroziez's sign (systolic and diastolic murmurs heard over the femoral artery when it is gradually compressed with the stethoscope)

Notes

• • Collapsing pulse => Aortic incompetence

  • Corrigan's pulse

    • Rapid upstroke and collapse of the carotid artery pulse

    • => Visible carotid pulsations