Changes in a murmur with respiration (inhalation) can help distinguish a right-sided murmur from its corresponding left-sided murmur. All right-sided murmurs increase with inspiration (Carvallo sign).

Pulsus bisferiens occurs in patients with significant aortic valve regurgitation. A double pulse is felt due to the backflow of blood in early diastole. The first carotid pulse felt is normal systole, ...

For palpation, use your fingertips or the area between the metacarpophalangeal and proximal interphalangeal joints. Practice and attention will determine which area is most sensitive for you. The ...

IN patients with advanced aortic regurgitation Korotkoff sounds may be heard over the brachial artery when the sphygmomanometer cuff has been completely deflated. Diastolic pressures obtained by ...