Classical signs for severe aortic regurgitation are as follows-

1.WIDE PULSE PRESSURE

☛ Mild 40-60 mmHg
☛ Moderate 60-80 mmHg
☛ Severe > 80 mmHg

2.HILLS SIGN

☛ difference between systolic BP in LL & UL
☛ Mild AR- 20-40 mmHg
☛ Mod- 40-60 mmHg
☛ Sev- >60 mmHg

3.ALFRED DE MUSET SIGN

☛ Oscillation or bobbing of head with each heart beat

4.LIGHTHOUSE SIGN

☛ Alternate blanching & perspiration of forehead

5.LANDOLFE’S SIGN

☛ Papillary dilatation & contraction

6.BECKER’S SIGN

☛ Retinal artery pulsation

7.MULLER’S SIGN

☛ Pulsating uvula

8.CORIGAN’S SIGN

☛ Dancing carotid

9.QUINKE’S SIGN

☛ Pulsatile capillary filling of nail bed on application of pressure on nail bed

10.WATERHAMMER PULSE

☛ Brisk upstroke,brisk downstroke with high volume felt over than a less sensitive area like palm

11.LOCOMOTOR BRACHIALIS

☛ Visible brachial pulsations

12.MAYNE’S SIGN

☛ Decrease in DBP by > 15 mmHg BP measured in arm hanging & arm raised

13.AUSTN FLINT MURMUR

☛ Regurgitant jet hitting AML
☛ Coming together of 2 jets AR jet & LA to LV jet to create turbulence
☛ Increase LVDEP

14.ROSENBACK SIGN

☛ Liver pulsations

15.GERHARDT’S SIGN-

☛ Splenic pulsations

16.DUROZIEZ MURMUR

☛ An auscultation over femoral artrery with pressure
☛ A systolic murmur heard distally & a diastolic murmur proximally

17.LINCOLN SIGN

☛ Toe movement with cardiac control

18.TRAUBE’S SIGN

☛ Pistol shot femorals

19.SHILLY’S SIGN

☛ Pulsating cervix

                                                                                                                           dr. ajita.