Aortic Regurgitation

Sometime, I use this 'fancy' word --> aortic 'regurge'

Clinical signs include;

* Hyperdynamic apical impulse displaced laterally and inferiorly may be associated with an ejection click.
* Decrescendo diastolic murmur is heard best while the patient is leaning forward on deep expiration.
* Apical middiastolic rumble
* Austin-Flint murmur
* Pulsus bisferiens; increased pulse pressure; visible, forceful, and bounding peripheral pulses (water hammer)
* Corrigan pulse - Quickly collapsing pulses
* Corrigan sign- dancing carotids,prominent carotid pulsation in the neck
* Musset sign - Bobbing/nodding of the head with each systolic pulsation
* Quincke sign - Capillary pulsations of the nail bed (alternate flushing and blanching of the nail bed)
* Hill sign - Systolic pressure in lower extremity greater than systolic pressure in upper extremity by at least 100 mm Hg
* Traube/ Pistol shot sign - Loud systolic sound over femoral arteries
* Duroziez sign - Systolic-diastolic murmur produced by compression of femoral artery with a stethoscope

Usually all these sign can be appreciated in chronic cases.



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