Distraction radiology edens physicalexam auscultation defect diagnosis abnormal clinical emphysema

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Auscultation of Split S2 - Differential Diagnosis
• Normal or physiologic
• Wide, fixed splitting -Atrial

Auscultation of ... • Normal or physiologic ... -Atrial septal defect ... #cardiology #Auscultation ... #physicalexam

On the left a typical case of panlobular emphysema.
There is uniform destruction of the underlying architecture

There is uniform destruction ... widespread areas of abnormally ... extensive lung destruction ... and difficult to detect ... #Clinical #Radiology

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