Small volume, irregular in rhythm and volume
Select the most likely pulse that will be felt in the
clinical scenarios given below:
A young man with hypertension. He has visible pulsations in the
suprasternal notch, a heaving apex beat and there are prominent periscapular
blood vessels. There is a continuous bruit best heard over the back.
An elderly female with a tapping apex beat, a loud first heart sound,
an opening snap and a rumbling mid-diastolic murmur best heard just medial to
the apex beat. There is no pre-systolic accentuation of the murmur.
An elderly man with a heaving apex beat, soft single second heart sound
and a harsh ejection systolic murmur radiating to the neck
4) A teenager with severe breathlessness, showing signs
of respiratory distress. On auscultation of his chest there are bilateral
An elderly patient who is breathless and oedematous and has an elevated
JVP , displaced apex beat , a 3rd heart sound and bilateral basal