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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

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