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