11th May 2025

A 49-year-old female presents with progressive breathlessness and associated chest pain.

A 49-year-old female presents with progressive breathlessness and associated chest pain. Examination and subsequent investigations confirm a diagnosis of pulmonary hypertension. She is known to have left ventricular dysfunction and is under cardiology for further management. You ask the medical student sitting in on your clinic to examine the patient. Which of the following signs is most specific to pulmonary hypertension?

Select the SINGLE most appropriate option from the list below. Select ONE option only.