Internal Medicine Glossary

A

  • Amplitude (Pulse Amplitude) – The strength or force of the pulse wave felt on palpation, ranging from absent to bounding.

  • Asynchronous Pulse – When pulses in different arteries are not simultaneous, may indicate arterial obstruction or cardiac conduction problems.


B

  • Bounding Pulse – A strong, forceful pulse often seen in conditions such as fever, anemia, aortic regurgitation, or hyperthyroidism.

  • Bisferiens Pulse – A pulse with two peaks per cardiac cycle; classically associated with aortic regurgitation with stenosis or hypertrophic cardiomyopathy.


C

  • Capillary Pulse – Visible pulsation of the capillary bed, often seen in severe aortic regurgitation.

  • Corrigan’s Pulse – Also called “water hammer pulse,” a rapidly rising and collapsing pulse characteristic of aortic regurgitation.

  • Collapse Time – Time taken for the pulse to collapse; shortened in conditions like aortic regurgitation.


D

  • Dicrotic Pulse – A pulse with a double beat, often seen in conditions of low cardiac output like cardiogenic shock.


E

  • Ejection Pulse – The normal pulse felt with the systolic ejection of blood from the left ventricle.


F

  • Femoropopliteal Pulse – Pulses felt over the femoral and popliteal arteries; absence may indicate peripheral arterial disease.


H

  • Hypokinetic Pulse – Weak and small pulse due to poor left ventricular output, seen in heart failure or shock.


I

  • Irregular Pulse – Pulse with variable rhythm; common in atrial fibrillation or premature beats.


M

  • Monophasic Pulse – A pulse with a single peak, often indicative of arterial obstruction downstream.

  • Mitral Stenosis Pulse – Typically a small and slow-rising pulse due to reduced stroke volume.


P

  • Parvus et Tardus Pulse – A weak (parvus) and delayed (tardus) pulse characteristic of aortic stenosis.

  • Pulsus Alternans – Alternating strong and weak pulses, indicating left ventricular systolic dysfunction.

  • Pulsus Paradoxus – An exaggerated (>10 mmHg) drop in systolic blood pressure during inspiration; seen in cardiac tamponade, severe asthma.

  • Pulsus Bigeminus – Pulse in pairs due to premature beats.

  • Pulsus Bisferiens – See Bisferiens pulse.

  • Pulsus Filiformis – Thin, weak, thready pulse usually due to low stroke volume.

  • Pulsus Parvus – Small or weak pulse, often seen in aortic stenosis.

  • Pulsus Alternans – Alternating amplitude pulses.


R

  • Radial Pulse – The pulse felt at the wrist over the radial artery; commonly used for routine pulse assessment.

  • Radiofemoral Delay – Delay between the radial and femoral pulse, suggestive of coarctation of the aorta.


S

  • Small Pulse – Weak pulse due to reduced cardiac output.

  • Slow-rising Pulse – A pulse that rises slowly, often seen in aortic stenosis.


T

  • Tachycardic Pulse – Fast pulse rate, commonly >100 beats per minute.

  • Thrill – A palpable vibration over an artery indicating turbulent blood flow, often associated with a murmur.


U

  • Unequal Pulses – Differences in pulse amplitude or timing between limbs; may indicate arterial obstruction or vascular disease.


V

  • Visible Pulse – A pulse visible to the eye, such as carotid artery pulsations in severe aortic regurgitation or hyperthyroidism.

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