38 results
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
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 ... Signs #Cardiology #NEJM
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
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3, S4 ... or summation gallop
Conjunctival Pallor: Image on left shows the pale appearance of the conjunctival reflection (lower lid) in
Conjunctival Pallor ... Images #Clinical #Photo ... #Conjunctival #Pallor
Herpes Zoster Mandibularis - The lesions were scattered along the area that is innervated by the
#Clinical #Photo ... Mandibularis #Rash #NEJM
A necrotic ulceration was observed on the right side of the tongue. Cervicofacial computed tomography, performed
arteritis #clinical #photo ... Arteritis #tongue #NEJM
Scarlet fever
• Delayed-type skin reactivity to pyrogenic exotoxin Requires prior exposure
• Diffuse erythematous eruption that generally
- circumoral pallor ... diagnosis #clinical #photo
Macroglossia in Light-Chain Amyloidosis- Physical examination revealed macroglossia, with indentations from the teeth (Panel A)...A biopsy
amyloidosis #clinical #photo ... AL #lightchain #NEJM
Dirofilaria repens- Patient had first noted a nodule below her left eye (Panel A). Five days
repens #clinical #photo ... #NEJM #parasite