Pulse Abnormalities Unequal or delayed obstructive arterial disease atherosclerosis aortic dissection aortic aneurism aortic coarctation takayasu disease normal variant pulsus alternans variation in pulse amplitude with alternative beats left heart failure pulsus paradoxus exaggerated inspiration drop in arterial pressure greater than or equal to 10mmHg cardiac tamponade AECOPD/ acute exacerbation od asthma hypovolaemic shock constrictive pericarditis restrictive cardiomyopathy aortic stenosis anacrotic pulsus parvus small amplitude pulsus tardus delayed slow upstroke water hammer pulse rapid abstract followed by rapid collapse aortic regurgitation high output states anaemia hypoglycaemia

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