Wednesday, January 23, 2008

52 - pulsus bisferiens

Q- pulsus bisferiens is best felt in ?

a- carotid arteries
b- brachial arteries
c- radial artery
d- femoral artery

the answer is c .

normally the central arteries like the carotid and the brachial give much information about the left ventricular function or aortic valve function ,but pulses like pulsus bisferiens and pulsus alterans are best felt in the peripheral arteries .

pulsus bisferiens is a pulse with 2 systolic peaks and it is seen in conditions like

AORTIC REGURGITATION

and

HYPERTROPHIC CARDIOMYOPATHY .

REFER HARRISONS BOOK OF MEDICINE - 15 th edition -PAGE 1255 AND 1305 - 16 th edition.

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