396 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 ... #Stethoscope #Hand
Cardiac Auscultation Practice - S4 Gallop

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

Setup:
Practice - S4 Gallop ... ptfaddenMD #S3 ... #Gallop #HeartSounds ... #Stethoscope #Hand
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
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Respirations - S3 ... Gallop - Normal
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3 ... S4 or summation gallop
Conjunctival Pallor: Image on left shows the pale appearance of the conjunctival reflection (lower lid) in
Conjunctival Pallor ... Images #Clinical #Photo ... #Conjunctival #Pallor
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
pulse pressure, pallor ... pulse pressure, S3
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
quality - groin and ... - circumoral pallor ... antecubital fossae and ... diagnosis #clinical #photo
Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,
exercise tolerance, and ... abdominojugular, reflux s3 ... (gallop rhythm) ... , and laterally ... ascites, cool and
Double Apical Impulse (S4) Visualization on Physical Exam - Hi-Res Video Version: https://www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs

On palpation, the PMI
physicalexam-cardiology-impulse-double-gallop-apical-signs ... to be diffuse and ... the cardiac apex and ... noncompliant ventricle and ... #Impulse #S4 #Gallop
Methemoglobinemia - Hand of a young person with headache and dyspnea shortly after starting dapsone. 
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Methemoglobinemia - Hand ... with headache and ... G6PDDeficiency #Clinical #Photo ... #Hand #Cyanosis