NJEM+derm+photo+sign drawer gangrenosum physicalexam nejm cardiology s4 - GrepMed

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Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest

Apical Impulse (S4 ... had a prominent S4 ... #Gallop #PhysicalExam ... #Video #Signs # ... Cardiology #NEJM

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