7194 results
Cardiac Auscultation Practice - S4 Gallop

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

Setup:
Auscultation Practice - S4 ... Gallop S4: add ... #PhysicalExam #Clinical
Cauda Equina Syndrome Overview

Cauda Equina Syndrome:
 • Prevalence: 1:33,000-100,000 ppl/yr
 • Incidence: 1.5-3.4 million ppl/yr
 •
Cauda Equina Syndrome ... Overview Cauda ... Symptoms - Cauda ... perianal region (S2-S4 ... #CaudaEquina #Cauda
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
Apical Impulse (S4 ... A prominent S4 sound ... The S4 sound is ... Apical #Impulse #S4
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Sustained Palpable S4
Chronic SVC Stenosis with Caudal Blood Flow of Dilated Abdominal Veins

60 y/o hx of seizures &
Stenosis with Caudal ... the navel and Caudad ... - flow will be caudad ... was dominantly caudad ... abdominal #veins #Clinical
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
effacement of CSF; cauda ... Aggregation of cauda
Cauda Equina Syndrome:

Top tips to save your arse (and your patient’s!)

1. Suspect? Investigate. If CES (threatened,
Cauda Equina Syndrome ... DrLindaDykes #Cauda
Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest
Apical Impulse (S4 ... had a prominent S4 ... Apical #Impulse #S4
Myotomes of the Spinal Cord
Each segmental nerve root innervates more than one muscle. For simplicity, certain
below this is the cauda ... The cauda equina
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... tachycardia • S3, S4