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.

Clue 4

This should make it easier to appreciate.

Clue 5

Next you look at the patient’s fingernails. What do you see?

Reveal next