5838 results
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Respirations - S3 ... Gallop - Normal ... Likelihood #LRs #diagnosis
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Myocarditis Diagnosis ... tachycardia • S3 ... S4 or summation gallop ... #Myocarditis #Diagnosis
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
abdominojugular, reflux s3 ... (gallop rhythm) ... 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 ... #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
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Ripple" - Palpable S3 ... #PhysicalExam #Diagnosis
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
Exacerbation - Diagnostic ... failure • JVD • S3 ... #physicalexam #diagnosis
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
- Differential Diagnosis ... pulse pressure, pallor ... pulse pressure, S3 ... #Differential #Diagnosis
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
Tetralogy of Fallot 

1. Right ventricular outflow tract obstruction 

2. Right ventricular hypertrophy 

3. Ventricular septal
Tetralogy of Fallot ... #Tetralogy #Fallot ... Signs #Symptoms #Diagnosis