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Myocarditis Diagnosis • Endomyocardial biopsy (gold standard, rarely performed) • Clinical presentation • Cardiovascular MRI Clinical •
Myocarditis Diagnosis ... tachycardia • S3, S4 ... or summation gallop ... #Myocarditis #Diagnosis
Cardiac Auscultation Practice - S4 Gallop S4: add this extra heart sounds by tapping first finger twice Setup:
Auscultation Practice - S4 ... Gallop S4: add ... ptfaddenMD #S3 #Gallop
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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
Apical Impulse (S4 ... physicalexam-cardiology-impulse-double-gallop-apical-signs ... A prominent S4 sound ... The S4 sound is ... #Gallop #PhysicalExam
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 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 ... #Gallop #PhysicalExam
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 Apical Impulse Waveforms on Physical Examination - Normal - Sustained Palpable S4 - "Triple Ripple" - Palpable S3 #Apical #Impulse #Waveforms
Sustained Palpable S4 ... #PhysicalExam #Diagnosis
Cardiac Auscultation Practice - S3 Gallop S3: add this extra heart sound by tapping second finger twice Setup:
Practice - S3 Gallop ... ptfaddenMD #S3 #Gallop
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 HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios - Displaced Apical Impulse -
Respirations - S3 Gallop ... Likelihood #LRs #diagnosis
Pudendal Neuralgia • Pudendal nerve arises from S2-S4 roots and innervates perineal structures • Nerve is prone to
arises from S2-S4 ... block can help diagnose ... • Important to diagnose ... arriving at correct diagnosis ... Pudendal #Neuralgia #Diagnosis
Tetralogy of Fallot 1. Right ventricular outflow tract obstruction 2. Right ventricular hypertrophy 3. Ventricular septal
Tetralogy of Fallot ... #Tetralogy #Fallot ... Signs #Symptoms #Diagnosis
Tetralogy of Fallot Summary • Anatomy • Incidence • Pathophysiology • Presentation • Common Variants •
Tetralogy of Fallot ... MD #Tetralogy #Fallot ... #diagnosis #management
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