S4 clinical pocus - GrepMed

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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

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

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

Myocarditis
Diagnosis
• Endomyocardial biopsy (gold standard, rarely performed)
• Clinical presentation
• Cardiovascular MRI
Clinical
•

performed) • Clinical ... Cardiovascular MRI Clinical ... tachycardia • S3, S4

Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical

Diagnosis and Causes Clinical ... Descents, Rales,+S4

This is what a shoulder dislocation looks like on US before and after reduction. Focus on

Focus on the joint ... Ghali @EM_RESUS #Clinical ... #POCUS #MSK #Shoulder

Pudendal Neuralgia
• Pudendal nerve arises from S2-S4 roots and innervates perineal structures
• Nerve is prone to

arises from S2-S4

Spinal Cord Injury by Nerve Root Levels
Spinal Root Sensory Motor Reflex
C4 Acromioclavicular Joint Respiration None
C5 Radial Antecubital Fossa Elbow Flexion Biceps Reflex
C6 Dorsal Thumb Wrist Extension Brachioradialis Reflex
C7 Dorsal

Bulbocavernosus S3/S4

ABC's of POCUS
Forming the platform for my CCS2018 talk, ‘POCUS on ITU’! My infographic on the

ABC's of POCUS ... CCS2018 talk, ‘POCUS ... on the ABC’s of POCUS ... #CriticalCare #POCUS ... #ABCs #ABCDEs #clinical

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