Urea cxr chest pocus video cardiology lung ctchest sign nejm arrest apical gallop ct signs

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Double Apical Impulse (S4) Visualization on Physical Exam - A small stick taped to the chest

stick taped to the chest ... #Impulse #S4 #Gallop ... #PhysicalExam #Video ... #Signs #Cardiology ... #NEJM

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Heart failure with Reduced Ejection Fraction (HFrEF)
Clinical Presentation
1. Typical symptoms: dyspnea, orthopnea paroxysmal noctumal dyspnea, fatigue,

More Specific Signs ... Less Specific Signs ... Chest x-ray: signs ... acute HF → no signs ... of CXR congestion

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