2015 results
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 ... #S4 #Gallop #PhysicalExam
Apical Impulse Waveforms on Physical Examination
- Normal
- Sustained Palpable S4
- "Triple Ripple"
- Palpable S3

#Apical #Impulse #Waveforms
Apical Impulse Waveforms ... Sustained Palpable S4 ... S3 #Apical #Impulse
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 ... Double #Apical #Impulse
Cardiac Auscultation Practice - S4 Gallop

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

Setup:
Auscultation Practice - S4 ... Gallop S4: add
Cardiac conducting system 
 - Sinoatrial (SA) node normally generates the action potential, i.e. the electrical
the electrical impulse ... - The impulse ... the AV node, the impulse ... of electrical impulses
Simplified Algorithm for bradycardia with a pulse (Adapted from ACLS 2010) #Management #EM #IM #Prehosp #ACLS
Simplified Algorithm ... bradycardia with a pulse ... #Bradycardia #Algorithm
Simplified Algorithm for tachycardia with a pulse (Adapted from ACLS 2010) #Management #EM #IM #Prehosp #ACLS
Simplified Algorithm ... tachycardia with a pulse ... #Tachycardia #Algorithm
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
tachycardia • S3, S4
Pulse Abnormalities - Differential Diagnosis Algorithm
Unequal/DeIayed:
 • Obstructive arterial disease (ie. Atherosclerosis)
 • Aortic dissection
 •
Pulse Abnormalities ... Differential Diagnosis Algorithm ... - Variation in pulse ... Water Hammer Pulse ... Differential #Diagnosis #Algorithm
Pediatric Tachycardia with a Pulse and Poor Perfusion Algorithm
#Diagnosis #Management #PALS2015 #Tachycardia #SVT #Algorithm
Tachycardia with a Pulse ... Poor Perfusion Algorithm ... Tachycardia #SVT #Algorithm