Eponymous Signs

Austin Flint Murmur

  • Aortic Regurgitation
  • Mid diastolic or pan diastolic murmur
  • Regurgitatant jet of blood from aortic valve can cause premature closure of mitral valve

Corrigan’s Sign

  • Abrupt filling and collapse of carotid arteries indicating
  • Aortic Regurgitation

Quinkes Sign

  • Capillary pulsation in nailbeds
  • Aortic Regurgitation

Kussmaul’s Sign

  • Paradoxical rise in JVP with inspiration
  • Soft heart sounds
  • Usually indicates poor right heart filling – constrictive pericarditis or restrictive cardiomyopathy
  • Pericardial tamponade

Duroziez’s sign

  • Diastolic murmur heard at femoral artery when it is compressed with stethoscope
  • Suggests aortic Regurgitation

Argyll-Robertson Pupil

  • Miosis (excessive construction of pupil)
  • Pupil accomodates but does not react to light
  • Classically associated with syphillis

Holmes-Aide Pupil

  • Reacts slowly to light and on convergence

Romberg’s sign

  • Patient stands with feet together, eyes closed
  • If they fall it’s positive
  • Can’t be performed if can’t stand unaided with feet together eyes open
  • Postitive in conditions affecting the dorsal column (tertiary syphilis and cord compression) and peripheral neuropathy
  • Commonest causes of positive test from cord compression are:
    • cervical spondylosis
    • tumour
    • Rare causes are: tabes dorsalis, degenerative spinal cord disease and B12 deficiency