Though I knew everything u told That stick method was new to me We used to palpate carotid pulse and it was bit confusing and harm to patient. Loved it doc! Thanks
Stanford Medicine and Dr Errol, I am a big fan of yours. The video on AR and this one were awesome. if you make videos on physical examination of all major cardiac and pulmonary diseases, it'll be one of the best gifts a man ever gave to medical students across the globe! waiting eagerly for the next one!
Poor Mr. Garcia. I hope he is okay. Question, you said you heard his aortic regurg murmur at the left lower sternal border. Why do you hear it best there than the aortic area which is on the right lower sternal border?
I am trying to understand the specific reason behind WHY WE WORKUP A ASYMPTOMATIC DIASTOLIC MURMUR AND NOT ASYMPTOMATIC SYSTOLIC MURMUR. Would appreciate any suggestions or clarifications.
diastolic murmurs are always pathological. Very important to remember! Systolic murmurs can be serious too but often not. If patient with a systolic murmur and it's a high grade (such as with a thrill), radiating such as to the neck, new or there's any other issues like signs of heart failure, you need to consider an echo.
Not always abnormal. Some people, you can see their pulses better. In other situations, they might be pounding if the heart is contracting forcefully for other reasons. That's why it's so important to know other exam findings. For example, if you have pounding pulses and a diastolic murmur, then you really have diagnosed an abnormal finding!
Come on, "ass-cultation". Waterhammer not waterhammer's. What about his ejection click? Vast difference in frequency between diastolic murmurs of AI/PI and the diastolic rumble of MS/TS. Opening snaps? S2/OS timing, etc.
