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Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
Double Apical Impulse ... www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... cardiac apex and a double ... #Double #Apical ... Impulse #S4 #Gallop #PhysicalExam
Table 3. Suggested Empiric Treatment Options for Clinically Suspected Ventilator-Associated Pneumonia in Units Where Empiric Methicillin-Resistant
Table 3. ... aureus Coverage and Double
Posteromedial Instability on Knee Exam
This is what a knee with posteromedial instability looks like. Notice the
Doubled over single ... Instability #Knee #PhysicalExam ... #Injury #MSK #clinical
Lelli's Test (Lever Sign) for ACL Injury

A fist is placed under the proximal 3rd of the
rises from the table ... rise from the table ... clinical #video #physicalexam ... #sports #msk #orthopedics
Thomas' Test for Hip Flexure Contracture

Thomas' Test assesses for hip flexure contracture.
One hip is maximally flexed
rises off the table ... #Contracture #PhysicalExam ... video #sports #msk
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Double Apical Impulse ... sound visualizes a double ... #Double #Apical ... Impulse #S4 #Gallop #PhysicalExam
Simplified Vasopressors and Inotropes Comparison Chart
MAP = CO x SVR
Dobutamine - Norepinephrine - Epinephrine - Phenylephrine
Vasopressin When in doubt ... Inotropes #comparison #table
Reduction of Posterior Elbow Dislocation

#Elbow #Dislocation #Reduction #Posterior #clinical #video #msk #sports #orthopedics #physicalexam
clinical #video #msk ... #orthopedics #physicalexam
Additional Modalities for Workup of GI Bleed (Other than EGD + Colonoscopy)

Pill endoscopy
 • Able to
endoscopy • Able ... beyond push and double-balloon ... Enteroscopy (e.g., push, double ... beyond push and double-balloon ... gastroenterology #table
Alternatives to opioids for pain management in the emergency department decreases opioid usage and maintains patient
Indications #Pathways #Table ... #MSK #Migraine