Image Question-48

What is the diagnosis of IMAGE?


A. Aortic Regurgitation

B. Mitral Regurgitation

C. Mitral Stenosis

D. Aortic Stenosis

Peripheral Signs – Aortic Regurgitation

The peripheral signs of aortic regurgitation are mostly due to the increased stroke volume and wide pulse pressure seen in aortic regurgitation.

1Corrigan’s pulse A rapid and forceful distension of the arterial pulse with a quick collapse
2De Musset’s signBobbing of the head with each heartbeat (like a bird walking)
3Müller’s signVisible pulsations of the uvula
4Quincke’s signCapillary pulsations seen on light compression of the nail bed
5Traube’s signSystolic and diastolic sounds heard over the femoral artery (“pistol shots”)
6Duroziez’s signGradual pressure over the femoral artery leads to a systolic and diastolic bruit
7Hill’s signPopliteal systolic blood pressure exceeding brachial systolic blood pressure by 60 mm Hg or more (most sensitive sign for aortic regurgitation)
8Shelly’s signPulsation of the cervix
9Rosenbach’s signHepatic pulsations
10Becker’s signVisible pulsation of the retinal arterioles
11Gerhardt’s sign (aka Sailer’s sign)Pulsation of the spleen in the presence of splenomegaly
12Mayne’s signA decrease in diastolic blood pressure of 15 mm Hg when the arm is held above the head (very nonspecific)
13Landolfi’s signSystolic contraction and diastolic dilation of the pupil
Peripheral Signs – Aortic Regurgitation

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