Diseases of the chest and the principles of physical diagnosis . Pulsation of the cervical vessels may be arterial or venous. Inthe former instance it may be due to marked alternations of blood-pres-sure and an hypertrophied heart, or to a local aneurism. Venous pulsa-tions may be seen in the jugular veins of recumbent subjects. Normallythree small, faint waves can be made out. These are stasis waves; thejare not due to regurgitation from the right heart. A single large sj^stolicpulsation may result from (a) a transmitted impulse from a contiguousartery, (6) tricuspid insufficiency, (c) aneuri
Diseases of the chest and the principles of physical diagnosis . Pulsation of the cervical vessels may be arterial or venous. Inthe former instance it may be due to marked alternations of blood-pres-sure and an hypertrophied heart, or to a local aneurism. Venous pulsa-tions may be seen in the jugular veins of recumbent subjects. Normallythree small, faint waves can be made out. These are stasis waves; thejare not due to regurgitation from the right heart. A single large sj^stolicpulsation may result from (a) a transmitted impulse from a contiguousartery, (6) tricuspid insufficiency, (c) aneurismal varix. A capillarypulse (Quinckes pulse) consists in an alternate flushing and blanchingof a flnger tip when slight pressure is made upon the lower portion of the 151 152 THE EXAMINATION OF CIRCULATORY SYSTEM finger nail. It may occur in cases of aortic insufficiency. It is not^anearly sign and is elicited with difficulty. The patient who suffers from mitral and tricuspid disease is apt - tocomplain of orthopnea, cough, cyanosis, and hemoptysis (pulmonary. Fig. 122.—Stunted growth and bulging of the precordium resulting from mitral obstructionand insufficiency in a boy of fifteen years. Pulmon Anrtic valve
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Keywords: ., bookcentury1900, bookdecade1920, booksubjectdiagnos, bookyear1920
