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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

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

Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest

#Impulse #S4 #Gallop ... Signs #Cardiology #NEJM

Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the

#Clinical #Photo ... Mandibularis #Rash #NEJM

A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed

arteritis #clinical #photo ... Arteritis #tongue #NEJM

Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally

- circumoral pallor ... diagnosis #clinical #photo

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