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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 ... ptfaddenMD #S3 #Gallop ... PhysicalExam #Clinical #Video

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 ... #Video #Signs #

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 ... Exam - Hi-Res Video ... physicalexam-cardiology-impulse-double-gallop-apical-signs ... #Gallop #PhysicalExam ... #Video #Signs #

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

tachycardia • S3, S4 ... or summation gallop

Cardiac Auscultation Practice - S3 Gallop

S3: add this extra heart sound by tapping second finger twice

Setup:

Practice - S3 Gallop ... ptfaddenMD #S3 #Gallop ... PhysicalExam #Clinical #Video

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

#Apical #Impulse #Waveforms

Sustained Palpable S4

HFrEF - Low Ejection Fraction on Physical Exam - Likelihood Ratios
- Displaced Apical Impulse
-

Respirations - S3 Gallop

Shoulder Effusion Ballottement on Physical Examination

Shoulder effusion. You can ballot and see fluid return at posterior

You can ballot and ... orthopedics #clinical #video

Varying Degrees of Palpebral Conjunctival Pallor in four patients with hemoglobin levels:
(a) 7.3
(b) 12.7
(c) 14.0
(d) 14.5

#Conjunctival

Palpebral Conjunctival Pallor ... #Conjunctival #Pallor

Tetralogy of Fallot

1. Right ventricular outflow tract obstruction

2. Right ventricular hypertrophy

3. Ventricular septal

Tetralogy of Fallot ... #Tetralogy #Fallot

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