Vigorous Peripheral Pulse
Large bounding pulses are seen in aortic insufficiency and other high-output states, such as thyrotoxicosis, severe anemia, right-to-left shunt, and wet beriberi.
Patient 1:
This is a middle-aged man with a high-output state from Laennec’s cirrhosis.
This patient also has Dupuytren’s contracture.
Patient 2:
This is a middle-age man who was admitted to the hospital with cardiogenic shock of unclear etiology. He was discovered to have Corrigan’s pulse on exam, which led to the discovery of Quincke’s pulse, radial-femoral pulse delay, and discrepant blood pressures between the upper and lower extremities. He was subsequently diagnosed with coarctation of the aorta.
This patient also has Corrigan’s pulse, Quincke’s pulse, Radial-femoral pulse delay and a systolic murmur.