CLINICAL SKILLS S5 OSCE - AORTIC REGURG

Question 1

Aortic regurgitation inspection

Answer 1

• de Musset sign (head bobbing)
• Corrigan’s sign (bounding carotid)
• BP: wide pulse pressure
• Quincke’s sign (pulsating nailbeds)

Question 2

Aortic regurgitation palpation

Answer 2

• Brachial pulse (normal rate, collapsing rhythm, large volume)
• Apex beat (inferolateral displacement)

Question 3

Aortic regurgitation auscultation

Answer 3

*timing w/ carotids
- Normal position, bell + diaphragm at each valve, S1+S2, decrescendo early diastolic at RSB
- Lean forward, exhale, RSB diastolic decrescendo