Image Question-48

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What is the diagnosis of IMAGE?

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A. Aortic Regurgitation

B. Mitral Regurgitation

C. Mitral Stenosis

D. Aortic Stenosis

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Peripheral Signs – Aortic Regurgitation

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

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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

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