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This is a pulsed-wave Doppler tracing obtained during a #pocus exam of the common carotid artery in a patient with subacute shortness of breath and lower extremity swelling.There are two systolic peaks (best appreciated with the volume on) and a diastolic reversal of flow. the pulsus bisferiens, with two systolic peaks instead of one. There is a diastolic reversal of flow known as the "water hammer pulse" of aortic regurgitation. | Cardiophilia
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