1/9
A middle-age man presents with dyspnea. His BP is 112/40. This should generate a hypothesis.
And you begin to test your hypothesis by evaluating for specific physical findings. What do you notice in this video?
A middle-age man presents with dyspnea. His BP is 112/40. This should generate a hypothesis.
And you begin to test your hypothesis by evaluating for specific physical findings. What do you notice in this video?
2/9
The presence of de Musset’s sign (to-and-fro head bob) is consistent with your hypothesis. So you look for more evidence:
The presence of de Musset’s sign (to-and-fro head bob) is consistent with your hypothesis. So you look for more evidence:
3/9
And you find it in the form of Corrigan’s pulse (bounding carotid pulse). You continue to evaluate the peripheral pulses and find more evidence to support your hypothesis:
And you find it in the form of Corrigan’s pulse (bounding carotid pulse). You continue to evaluate the peripheral pulses and find more evidence to support your hypothesis:
4/9
This should make it even more obvious:
This should make it even more obvious:
5/9
Next you look at the patient’s fingernails. What do you see?
Next you look at the patient’s fingernails. What do you see?
6/9
The patient is having trouble seeing the finding, so you use a light source to help him:
The patient is having trouble seeing the finding, so you use a light source to help him:
7/9
You continue to evaluate the peripheral pulses, finally reaching his foot:
You continue to evaluate the peripheral pulses, finally reaching his foot:
8/9
Before you even listen to the patient’s heart, your diagnosis has all but been made. And when you listen, you know exactly what to listen for.
“The ears can’t hear what the mind doesn’t know”
(Best with headphones or good computer speakers.)
Before you even listen to the patient’s heart, your diagnosis has all but been made. And when you listen, you know exactly what to listen for.
“The ears can’t hear what the mind doesn’t know”
(Best with headphones or good computer speakers.)
9/9
You have just diagnosed severe aortic insufficiency with your eyes, your ears, and a Q-tip.
Medicine is beautiful, isn't it?
You have just diagnosed severe aortic insufficiency with your eyes, your ears, and a Q-tip.
Medicine is beautiful, isn't it?
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