Quincke's pulse
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Etiology
- chronic aortic insufficiency (AI)
- spider bite
Pathology
- wide pulse pressure with large systolic stroke volume & rapid fall in arterial pressure
Clinical manifestations
- prominent pulsations of skin capillaries
- diastolic blanching in the nail bed with nail compression (AI)
- tips of the index finger & thumb & the nail bed of the thumb exhibit capillary pulsation (AI)
- dyspnea (AI)
- edematous erythematous plaque pulsating with alternating erythema & blanching in synchrony with pulse (spider bite - image & video[4])
Diagnostic procedures
Management
More general terms
Additional terms
References
- ↑ Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 260-61
- ↑ Medical Knowledge Self Assessment Program (MKSAP) 11, 14, American College of Physicians, Philadelphia 1998, 2006
- ↑ Michelena HI, Enriquez-Sarano M Corrigan's Pulse and Quincke's Pulse N Engl J Med 2018; 379:e9. Aug 2, 2018 PMID: https://www.ncbi.nlm.nih.gov/pubmed/30067925 https://www.nejm.org/doi/full/10.1056/NEJMicm171535
- ↑ 4.0 4.1 4.2 Gal MS, Greenberger S Images in Clinical Medicine. A Pulsating Leg. N Engl J Med 2021; 384:e8 PMID: https://www.ncbi.nlm.nih.gov/pubmed/33503345 https://www.nejm.org/doi/full/10.1056/NEJMicm2022429