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15 Cards in this Set

  • Front
  • Back

Expansile liver pulsation

Causes: Severe tricuspid regurgitation, constrictive pericarditis

Distended chest veins and oedema lower trunk

Right heart failure

Severe dyspnoea and quiet chest

Pneumothorax

Left parasternal heave

Causes: right ventricular enlargement (mitral stenosis), severe left atrial enlargement pushing right ventricle forward, pulmonary hypertension, tetralogy of fallot (congenital heart defect comprising of RV outflow obstruction, ventral septal defect, aortic dextraposition, RV hypertrophy)

Miosis and ptosis in the same eye

Horner Syndrome, cluster headaches, tabes dorsalis, Parry Rombery Syndrome (wasting away of one side of the face)

Late systoli murmur with mid-systolic click

Causes: heart valve disease, mitral valve disease, prolapse

Cheyne Stokes breathing

periodic breathing charecterised by the oscillation between apnea and tachypnoea, with a crescendo-decrescendo pattern of depth of respiration


Causes: brainstem lesions, compression (stroke, raised ICP), in long cycles - long brain to lung circulation time as in pulmonary oedema or poor cardiac output

White optic disk

Morning glory disc anomaly (congenital), colobomatous optic disc (incomplete closure of embryonic fissure, familial), optic pit (temporary), sarcoidosis

Hoffman sign

AKA Hoffman-Trommer sign


Tests corticospinal tract for upper motor lesions

Tracheal deviation toward pathology

Causes: Atelectasis, agenisis of lung, pneumonectomy, pleural fibrosis, lung collapse

Friction rub over liver

Heard more often than felt. (Bruits)


Causes: cancer or infection

Murmur in epigastrium

Causes: fever, pregnancy, aortic aneurysm, aortic stenosis

Flame shaped hemorrhage in eye

Causes: hypertension, retinal vein occlusion, DM, shaken baby syndrome, trauma

Sable tibias

Syphilitic periostitis of long bones resulting in reactive bone formation. Radiographically appears as cotical sclerosis. When occuring in tibia called "sabre shin". Related to tibial periosteitis

Copper wire/Silver wire arteries in eye

Due to arteriosclerosis. Narrowed lumen which gives red reflection a shiny appearence, first copper then silver.