dchampigny Posted January 16, 2015 Share Posted January 16, 2015 What is Quincke's sign? Quote Link to comment Share on other sites More sharing options...
a.rosswoods Posted January 18, 2015 Share Posted January 18, 2015 What is Quincke's sign?Useless? Quote Link to comment Share on other sites More sharing options...
dchampigny Posted January 18, 2015 Share Posted January 18, 2015 Useless? If you aren't going to contribute, don't post. Quote Link to comment Share on other sites More sharing options...
a.rosswoods Posted January 18, 2015 Share Posted January 18, 2015 If you aren't going to contribute, don't post.It appears in normal individuals as well as those with aortic regurgitation. So it is not clinically valuable. Quote Link to comment Share on other sites More sharing options...
dchampigny Posted January 22, 2015 Share Posted January 22, 2015 Where is the most common anatomical location for a coarctation of the aorta ? Quote Link to comment Share on other sites More sharing options...
jtmathew Posted March 23, 2015 Share Posted March 23, 2015 Just a guess but immediately after the arch? More cardiac trivia: what are the 5th and 6th heart valves? Quote Link to comment Share on other sites More sharing options...
dchampigny Posted March 23, 2015 Share Posted March 23, 2015 @ the level of the ligamentum arteriosum! I'm not sure..... Quote Link to comment Share on other sites More sharing options...
andersenpa Posted March 23, 2015 Share Posted March 23, 2015 thebesian (coronary sinus) eustachian (IVC) although a snarky CTS PA would say the 2 bioprosthetic valve replacements at the aortic and mitral position! 1 Quote Link to comment Share on other sites More sharing options...
jtmathew Posted April 2, 2015 Share Posted April 2, 2015 What are the diagnostic criteria for a-fib on an ECG. Quote Link to comment Share on other sites More sharing options...
andersenpa Posted April 2, 2015 Share Posted April 2, 2015 What are the diagnostic criteria for a-fib on an ECG. rule #1- don't read the machine's interpretation on the printout. 2 Quote Link to comment Share on other sites More sharing options...
jtmathew Posted April 2, 2015 Share Posted April 2, 2015 "undertermined rhythm" Quote Link to comment Share on other sites More sharing options...
dchampigny Posted April 7, 2015 Share Posted April 7, 2015 What sound will you never hear on physical exam in a patient with atrial fibrillation? Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted April 8, 2015 Moderator Share Posted April 8, 2015 What sound will you never hear on physical exam in a patient with atrial fibrillation? S4. Why do you hear an S3 and not an s4? What fracture indicates acl tear? Quote Link to comment Share on other sites More sharing options...
Deanj59 Posted April 8, 2015 Share Posted April 8, 2015 S4. Why do you hear an S3 and not an s4? What fracture indicates acl tear? S3 occurs from volume overload or the blood "splashing" into the ventricle, not from a valve. ACL tears occur from hyperextension of the knee, don't know if this is right but looked up Segond fracture? I'm curious what this is though... MC cause of hyponatremia in a euvolemic patient? Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted April 8, 2015 Moderator Share Posted April 8, 2015 S3 occurs from volume overload or the blood "splashing" into the ventricle, not from a valve. ACL tears occur from hyperextension of the knee, don't know if this is right but looked up Segond fracture? I'm curious what this is though... MC cause of hyponatremia in a euvolemic patient? your answer is technically true, but doesn't answer the question. What is the action of the heart during an S3? What causes an S4? Yes, a segond fracture. I just call it a tibial plateau fracture though because my ortho attendings in training hated when you used the moniker. Quote Link to comment Share on other sites More sharing options...
Deanj59 Posted April 8, 2015 Share Posted April 8, 2015 your answer is technically true, but doesn't answer the question. What is the action of the heart during an S3? What causes an S4? Yes, a segond fracture. I just call it a tibial plateau fracture though because my ortho attendings in training hated when you used the moniker.O Ok, trying again...S4 gallop indicates LVH and is atrial systole into a stiff left ventricle. The atria are not contracting in a-fib, therefore no S4 can be present. S3 is rapid filling of the ventricle that occurs after atrial contraction. Don't know if you were looking for a specific description of the heart's action during S3 in a pt. w/ a-fib though. Quote Link to comment Share on other sites More sharing options...
Moderator LT_Oneal_PAC Posted April 8, 2015 Moderator Share Posted April 8, 2015 Ok, trying again...S4 gallop indicates LVH and is atrial systole into a stiff left ventricle. The atria are not contracting in a-fib, therefore no S4 can be present. S3 is rapid filling of the ventricle that occurs after atrial contraction. Don't know if you were looking for a specific description of the heart's action during S3 in a pt. w/ a-fib though. correct there is no atrial contraction in afib so there can't be an S4. One note that was probably a typo in your post: an S3 comes during the passive filling, which occurs the whether in afib or nsr , of the heart BEFORE an atrial contraction. Quote Link to comment Share on other sites More sharing options...
dchampigny Posted April 8, 2015 Share Posted April 8, 2015 What is Beck's triad and what is it indicative of? Quote Link to comment Share on other sites More sharing options...
jtmathew Posted April 10, 2015 Share Posted April 10, 2015 JVD, hypotension, muffled heart sounds Cardiac tamponade Quote Link to comment Share on other sites More sharing options...
whoRyou Posted April 10, 2015 Share Posted April 10, 2015 What is Beck's triad and what is it indicative of? Quote Link to comment Share on other sites More sharing options...
bike mike Posted April 11, 2015 Share Posted April 11, 2015 What is Gallavardin phenomenon? Quote Link to comment Share on other sites More sharing options...
skyfall Posted April 14, 2015 Share Posted April 14, 2015 Why can't you give Zofran and Reglan together? I can't find a good answer to this question. Anyone know why? Quote Link to comment Share on other sites More sharing options...
greenmood Posted April 14, 2015 Share Posted April 14, 2015 Zofran and Reglan? We give those together quite commonly for our post-operative patients with an element of delayed gastric emptying. We do NOT give Reglan + promethazine (Phenergan) due to increased risk of extrapyramidal reactions. Quote Link to comment Share on other sites More sharing options...
dchampigny Posted May 1, 2015 Share Posted May 1, 2015 What is Russell's sign? Quote Link to comment Share on other sites More sharing options...
whoRyou Posted May 1, 2015 Share Posted May 1, 2015 What is Russell's sign? It's scraped or raw areas on the patient's knuckles, caused by self-induced vomiting. I used to work with MALES patients who have AN or BN (Anorexia Nervosa/Bulimia Nervosa). Yes, MALES! although predominantly affects women. It was an interesting grant. 1 Quote Link to comment Share on other sites More sharing options...
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