S4 double pocus - GrepMed

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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

Double Apical Impulse ... (S4) Visualization ... A prominent S4 sound ... The S4 sound is ... #Impulse #S4 #Gallop

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

Double Apical Impulse ... (S4) Visualization ... had a prominent S4 ... #Double #Apical ... #Impulse #S4 #Gallop

Cardiac Auscultation Practice - S4 Gallop

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

Setup:

Auscultation Practice - S4 ... Gallop S4: add

Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms

Sustained Palpable S4

$Double Counting on Cardiac Monitoring The “double counting” heart rate phenomenon. T waves are so prominent the$

Double Counting ... Monitoring The “double ... @EM_RESUS #Double

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

tachycardia • S3, S4

Nasogastric Tube Placement on Point of Care Ultrasound - Transverse View
The cervical esophagus is left of

Look for the "double ... clinical #video #pocus

Airway Intubation Confirmation on POCUS
Linear probe is placed on anterior neck at the level of the

Confirmation on POCUS ... hyperechoic arch, “double ... #Confirmation #POCUS

Kidney Biopsy - Diagnosis Algorithms
1) Normal Glomerulus by LM
2) Glomerular Crescents
3) Double Contours of GBM
4) Endocapillary

Crescents 3) Double

Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion

Wall Akinesis on POCUS ... If you have trouble ... abnormalities on POCUS ... STEMI #Clinical #POCUS

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