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Cardiac Auscultation Practice - S3 Gallop

S3: add this extra heart sound by tapping second finger twice

Setup:
Cardiac Auscultation ... Practice - S3 Gallop ... S3: add this ... ptfaddenMD #S3 ... #HeartSounds #Cardiac
POCUS Echocardiography - Table of Cardiac Views and Windows
 • Parastemal Long-Axis View (PLAX)
 • Parasternal
Echocardiography - Table of Cardiac ... -Chamber View (A4C ... -Chamber View (A5C ... -Chamber View (A2C ... Anatomy #POCUS #Cardiac
Cardiac Auscultation Practice - S4 Gallop

S4: add this extra heart sounds by tapping first finger twice

Setup:
Cardiac Auscultation ... ptfaddenMD #S3 ... #HeartSounds #Cardiac
Echocardiogram and POCUS Cardiology Windows and Anatomy
 • Parasternal Long Axis (PLAX)
 • Subcostal 4 Chamber
Subcostal 4 Chamber (S4C ... Apical 4 Chamber (A4C ... Apical 2 Chamber (A2C
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3 ... shock, sudden cardiac
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
Cardiogenic (Intra-cardiac ... pulse pressure, S3 ... Obstructive (Extra-cardiac ... → tension PTX, cardiac
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Ripple" - Palpable S3
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... concerning for cardiac ... Shortly after had cardiac ... RJonesSonoEM #Rupture #Cardiac ... ultrasound #Cardiology #A4c
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Respirations - S3
PECARN - Pediatric Head Injury Decision Aid - Mayo Clinic
PDF: https://s3-us-west-2.amazonaws.com/creatorphotos.clacdm.com/diagrams/PECARN%20DA.pdf

#Management #PatientInfo #Peds #Pediatrics #DecisionAid #PECARN
Clinic PDF: https://s3