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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
Lumbar Central Canal Stenosis Grading 
  - Normal - No CSF effacement 
  -
of CSF; cauda equina ... Aggregation of cauda equina ... Diagnosis #Radiology #MSK
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 Equina ... Symptoms - Cauda equina ... Causes of Cauda Equina ... perianal region (S2-S4
Lumbar stenosis guide we created to implement consistent radiology reporting across our multi-hospital network. 
Lumbar Central
of CSF; cauda equina ... Aggregation of cauda equina ... Diagnosis #Radiology #MSK
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
performed) • Clinical ... Cardiovascular MRI Clinical ... tachycardia • S3, S4
Pudendal Neuralgia
• Pudendal nerve arises from S2-S4 roots and innervates perineal structures
• Nerve is prone to
arises from S2-S4 ... Diagnosis #Radiology #MSK
Cauda Equina Syndrome
Causes:
 • Large lumbar degenerative disc herniation (central)
 • Severe lumbar spondylosis
 • Neoplasm
Cauda Equina Syndrome ... CaudaEquina #Syndrome #MSK
Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical
Diagnosis and Causes Clinical ... Descents, Rales,+S4
Clarke's Test (Patellar Grind Test)

Indicates Patellofemoral dysfunction.
 - Patient with knee in extension. Push posterior on
of patella then ask ... Patellar #Grind #clinical ... Patellofemoral #msk
5th metatarsal distal shaft fracture - Fracture detection on MSK ultrasound

The Ultrasound Site - MSK ultrasound
Fracture detection on MSK ... Ultrasound Site - MSK ... shaft #fracture #MSK ... POCUS #Ultrasound #Clinical