An index of symptoms with diagnostic methods . Aortic Regurgitation. Mitral Stenosis. Aortic Stenosis Mitral Regurgitation. Fig. 3.—Typical Sphygmograms The tracings will vary according to the degree of compensation. 283. VENOUS PULSE This must be studied with Mackenzies Polygraph. One ofthe most important points is the determination of theauricular systole. It immediately precedes the carotidwave, and the radial pulse is -^ second later than this.See 259, 269, 725. 283 106 PULSATION ABNORMAL PULSATION 284. Chest To detect supra-sternal pul-sation, it may be neces-sary to press a ringerfirmly
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An index of symptoms with diagnostic methods . Aortic Regurgitation. Mitral Stenosis. Aortic Stenosis Mitral Regurgitation. Fig. 3.—Typical Sphygmograms The tracings will vary according to the degree of compensation. 283. VENOUS PULSE This must be studied with Mackenzies Polygraph. One ofthe most important points is the determination of theauricular systole. It immediately precedes the carotidwave, and the radial pulse is -^ second later than this.See 259, 269, 725. 283 106 PULSATION ABNORMAL PULSATION 284. Chest To detect supra-sternal pul-sation, it may be neces-sary to press a ringerfirmly down behind thesternum. Aneurysm pulsation heaving or ex-pansile An aneurysm of the ascend-ing aorta first touchesthe chest wall in thesecond right space nearthe sternum (rarely toleft); of transverse arch, behind manubrium; ofdescending arch, belowfirst left rib ; of innomi-nate artery, behind rightsterno-clavicular articu-lation. There is no pulsation whenthe sac is solid. Aneurysm Mimic A transient, fusiform dilata-tion ; u seat, abdominalaorta or subclavian artery. Appendix,