Case 1 Cardiology

Dyspnea

Work it one clue at a time. The diagnosis stays hidden until you reveal it.

Clue 1

A middle-age man presents with dyspnea on exertion, orthopnea, and weight gain. His BP is 112/40. This should generate a hypothesis, which you begin to test by evaluating for specific physical findings. What do you notice in this video?

Clue 2

The presence of de Musset’s sign (to-and-fro head bob) is consistent with your hypothesis. So you look for more evidence.

Clue 3

And you find it in the form of Corrigan’s pulse. You continue to evaluate the peripheral pulses and find more evidence to support your hypothesis.

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