This week is signs week!
An 80 year old man presents to your clinic. He doesn't have any complaints, but on exam you find the following:
-A widened pulse pressure
-The head bobs with each heart beat
-You can hear a "pistol shot" pulse over the femoral arteries
-When you partially compress the femoral artery, you hear a systolic and diastolic bruit
-You notice pulsations of the capillary beds in the fingertips or lips
-When you have the patient open his mouth, you notice pulsations of the uvula
-Even when you look into his eyes, you see pulsations of the retinal arteries and pupils
-You manage to feel systolic pulsations of the liver
-You manage to feel systolic pulsations of the spleen
What a crazy exam. You rule out anemia, fever, thyrotoxicosis, and AV fistula.
Challenge: The diagnosis is easy. But how many of those signs have names?
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I put together these medical challenges. The cases are hypothetical and do not necessarily represent actual or typical presentations of medical diseases. Disclaimer is at the bottom of this page.
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1 comment:
Signs
These signs describe chronic aortic regurgitation; however, the predictive value of such signs is unknown. The signs are: water-hammer or Corrigan's pulse; deMusset's sign; Traube's sign; Duroziez's sign; Quincke's pulses; Mueller's sign; Becker's sign; Rosenbach's sign; and Gerhard's sign.
Source: UpToDate.
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