501 results
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 ... #Gallop #HeartSounds
Cardiac Auscultation Practice - S4 Gallop

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

Setup:
Practice - S4 Gallop ... ptfaddenMD #S3 ... #Gallop #HeartSounds
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Respirations - S3 ... Gallop - Normal
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3 ... S4 or summation gallop
Varying Degrees of Palpebral Conjunctival Pallor in four patients with hemoglobin levels:
(a) 7.3
(b) 12.7
(c) 14.0
(d) 14.5

#Conjunctival
Palpebral Conjunctival Pallor ... #Conjunctival #Pallor ... #Anemia #Levels
Conjunctival Pallor: Image on left shows the pale appearance of the conjunctival reflection (lower lid) in
Conjunctival Pallor ... patient with severe anemia ... #Conjunctival #Pallor ... #Anemia #UCSDH
Differential Diagnosis of Anemias #Diagnosis #IM #Honc #Anemia #Differential #Iron #Algorithm #Microcytic #Macrocytic #Normocytic #Ddxof
Differential Diagnosis of Anemias ... Diagnosis #IM #Honc #Anemia
Conjunctival Pallor on Physical Exam
After gently pulling down the patient's lower lid (top), the clinician observes
Conjunctival Pallor ... patients without anemia ... patients with anemia ... #Conjunctival #Pallor ... PhysicalExam #diagnosis #anemia
Hemolytic Anemias - Differential Diagnosis Algorithm

Signs of anemia and hemolysis:
 • ↓ Haptoglobin
 • ↑ LDH
Hemolytic Anemias ... Algorithm Signs of anemia ... Autoimmune Hemolytic Anemias ... Alloimmune Hemolytic Anemias ... #Hemolytic #Anemias
Here is another peripheral blood smear demonstrating changes with iron deficiency anemia. Note the increased zone
iron deficiency anemia ... zone of central pallor ... PeripheralBloodSmear #BloodSmear #Anemia