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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

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 ... #PhysicalExam #Clinical

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

performed) • Clinical ... Cardiovascular MRI Clinical ... tachycardia • S3, S4

HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test

Abnormal Head Impulse ... 1) Normal Head Impulse ... Abnormal Head Impulse ... #PhysicalExam #Clinical

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

HINTS Exam - Abnormal Head Impulse Test = Peripheral Cause

This video demonstrates:
1) Normal Head Impulse Test

Abnormal Head Impulse ... 1) Normal Head Impulse ... Abnormal Head Impulse ... #PhysicalExam #Clinical

HINTS Exam - Normal Head Impulse Test = Central Cause

This patient as a normal head impulse

- Normal Head Impulse ... a normal head impulse ... #PhysicalExam #Clinical

Restrictive Cardiomyopathy - Diagnosis and Causes
Clinical: Dyspnea, Exercise Intolerance, ↑ "Right Sided-Symptoms" (ascites, hepatomegaly, ↑↑peripheral edema)
Physical

Diagnosis and Causes Clinical ... Descents, Rales,+S4

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