6027 results
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
Typical symptoms ... Less Typical Symptoms ... abdominojugular, reflux s3 ... un lymphatic Diagnostic ... #heartfailure #diagnosis
Lesions of the Spinal cord - Spinal Cord Syndromes

Spinal cord lesions can result in permanent neurologic
Lower motor neuron symptoms ... Upper motor neuron symptoms ... bilateral) - S3 ... #differential #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
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
Eosinophilic Esophagitis (EoE) - Spectrum of Response
Non-response:
 • Histology: Persistent eosinophilia, ≥ 15 eos/hpf
 • Symptoms:
15 eos/hpf • Symptoms ... : Persistent symptoms ... decrease in a symptom ... : Decreased symptoms ... EoE #Response #diagnosis
Chest Pain Differential By Symptom Characteristics
- Dr. Andrew Perry https://twitter.com/Perrycardium

#ChestPain #Differential #Symptoms #Characteristics #Diagnosis
Differential By Symptom ... #Differential #Symptoms ... Characteristics #Diagnosis
Cardiac Auscultation Practice - S4 Gallop

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

Setup:
ptfaddenMD #S3
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... tachycardia • S3 ... #Myocarditis #Diagnosis