2002 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 ... Auscultation #Practice #PhysicalExam
Cardiac Auscultation Practice - S4 Gallop

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

Setup:
Practice - S4 Gallop ... ptfaddenMD #S3 ... #Gallop #HeartSounds ... Auscultation #Practice #PhysicalExam
HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
 - Displaced Apical Impulse
 -
Respirations - S3 ... Gallop - Normal ... #HFrEF #LowEF #PhysicalExam
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3 ... S4 or summation gallop
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Ripple" - Palpable S3 ... Impulse #Waveforms #PhysicalExam
Acute Heart Failure Exacerbation - Diagnostic Likelihood Ratios
+LR > 3.5:
 • Overall judgement of ED physician
failure • JVD • S3 ... #heartfailure #physicalexam
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 ... Levels #Comparison #PhysicalExam
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
www.grepmed.com/images/7802/physicalexam-cardiology-impulse-double-gallop-apical-signs ... #Impulse #S4 #Gallop ... #PhysicalExam #
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
Shock - Differential Diagnosis Framework
MAP = CO x SVR
Hypovolemic (↓ Intravascular volume):
 • Hemorrhage, dehydration due
pulse pressure, pallor ... pulse pressure, S3