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differential algorithm management causes clinical cardiology radiology pulmonary pocus table signs comparison symptoms neurology classification pathophysiology peds hematology nephrology workup
Apical Impulse Waveforms on Physical Examination - Normal - Sustained Palpable S4 - "Triple Ripple" - Palpable S3 #Apical #Impulse #Waveforms
Ripple" - Palpable S3 ... #PhysicalExam #Diagnosis
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios - Displaced Apical Impulse -
Respirations - S3 ... Likelihood #LRs #diagnosis
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios +LR > 3.5: • Overall judgement of ED physician
Exacerbation - Diagnostic ... failure • JVD • S3 ... #physicalexam #diagnosis
Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... tachycardia • S3 ... #Myocarditis #Diagnosis
Shock - Differential Diagnosis Framework MAP = CO x SVR Hypovolemic (↓ Intravascular volume): • Hemorrhage, dehydration due
- Differential Diagnosis ... pulse pressure, S3 ... #Differential #Diagnosis
Spinal Cord Injury by Nerve Root Levels Spinal Root Sensory Motor Reflex C4 Acromioclavicular Joint Respiration None C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex C7 Dorsal
Bulbocavernosus S3 ... #differential #diagnosis
Chronic Thromboembolic Pulmonary Hypertension (CTEPH) and Pulmonary Thromboendarterectomy Chronic Thromboembolic Pulmonary Hypertension Definition: mean pulmonary-artery pressure > 25mmHg
splitting of S2, S3 ... regurgitation) Diagnosis ... defects • Confirm diagnosis ... Thromboendarterectomy #diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF) Clinical Presentation 1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
abdominojugular, reflux s3 ... un lymphatic Diagnostic ... #heartfailure #diagnosis
Cardiac Auscultation Practice - S3 Gallop S3: add this extra heart sound by tapping second finger twice Setup:
Auscultation Practice - S3 ... Gallop S3: add ... ptfaddenMD #S3
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 Cardiac Auscultation Practice - S4 Gallop S4: add this extra heart sounds by tapping first finger twice Setup:
ptfaddenMD #S3
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