hello
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02-24-2016, 01:16 PM #1
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02-24-2016, 01:35 PM #2
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02-24-2016, 01:39 PM #3
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02-24-2016, 01:53 PM #4
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02-24-2016, 02:17 PM #5
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02-24-2016, 03:05 PM #6
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02-24-2016, 03:16 PM #7
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02-24-2016, 03:59 PM #8
- Join Date: Jan 2012
- Location: New Jersey, United States
- Posts: 1,523
- Rep Power: 1066
In. Just lmao @ the title.
"Success consists of going from failure to failure without loss of enthusiasm."
"Sometimes doing your best is not good enough. Sometimes you must do what is required."- Sir Winston Churchill
I'm just a resident physician who likes to lift, look good, and geek out about nutrition.
Bench: 255, Squat: 265, Deadlift: 405, OHP: 155
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02-24-2016, 06:19 PM #9
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02-25-2016, 12:50 AM #17
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02-25-2016, 04:30 AM #18
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02-25-2016, 04:38 AM #19
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02-25-2016, 05:24 AM #20
- Join Date: Jan 2012
- Location: New Jersey, United States
- Posts: 1,523
- Rep Power: 1066
"Success consists of going from failure to failure without loss of enthusiasm."
"Sometimes doing your best is not good enough. Sometimes you must do what is required."- Sir Winston Churchill
I'm just a resident physician who likes to lift, look good, and geek out about nutrition.
Bench: 255, Squat: 265, Deadlift: 405, OHP: 155
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02-25-2016, 05:42 AM #21
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02-25-2016, 10:32 AM #22
Odd question:
My dad has a client who is aweir of my medical aspirations. Said client asked my dad this morning about me and my dad said I got accepted and will begin matriculating, so the client gave my dad $300 to pass on to me as a congratulatory gift (lol)
What should I write on the Thank You card?
Also fuk that reminds me, I gotta email all my LoR writers.
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02-25-2016, 10:35 AM #23
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02-25-2016, 10:40 AM #24
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02-25-2016, 10:49 AM #25
Odd request, but does anyone know of a site with downloadable mp3's of the heart murmurs listed in first aid?
Trying to get accustomed to listening to them and recognizing them. The problem I've had is most sites either don't have downloads, crappy quality, to much detail, not enough detail, etc etc
Can anyone point me in the right direction?
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02-25-2016, 10:53 AM #26
NEJM has a good journal article with links to heart sounds, I'll try to find it
edit: www.nejm.org/doi/full/10.1056/NEJMra1302901
Apparently it was lung sounds, not heart. Sorry!I will be the best
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02-25-2016, 11:05 AM #27
- Join Date: Jan 2012
- Location: New Jersey, United States
- Posts: 1,523
- Rep Power: 1066
The only thing I'd add is that while it's good to learn the sounds, on all the Steps they provide very obvious clinical history that's s/o the respective murmur. So don't stress if you can't get the sound when exam time comes around. Same story with EKG's...the clinical background should have you with your answer before you even see the media/hear the audio.
"Success consists of going from failure to failure without loss of enthusiasm."
"Sometimes doing your best is not good enough. Sometimes you must do what is required."- Sir Winston Churchill
I'm just a resident physician who likes to lift, look good, and geek out about nutrition.
Bench: 255, Squat: 265, Deadlift: 405, OHP: 155
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02-25-2016, 11:07 AM #28
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02-25-2016, 11:12 AM #29
I've heard good things about murmur lab. In my experience, the artifact in recording / playback really diminishes from any time I've tried to learn from recordings though. A cards / peds cards rotation is where I've gotten the most learning done. That said, I know at least one cardiologist now who doesn't carry a steth anymore, just uses a pocket ultrasound. I wouldn't get overly hung up about heart sounds. If you can pick up systolic vs diastolic, radiation patterns, be cognizant of worrisome features (diastolic, new murmur + fever or in pt w/risk for bacteremia, ventricular heave, s/sx heart failure, lancisi's sign, etc) you'd he in a really strong place for a student. Lots of words, but gist is recognize murmur and be able to describe it in very basic terms, then put it in some sort of clinical context to risk stratify the likelihood that it's pathologic. My 2c, others may disagree
Edit: and should be able to describe loudness. Super simple / easy to remember and apply rule. For systolic murmurs, Grade 1 - softer than s1/s2; grade 2 - equal to s1/s2; grade 3 - louder than s1/s2 but no thrill; grade 4 - +thrill; grade 5 - audible with stethoscope half off chest; grade 6 - audible with steth off chest. Diastolic murmurs are graded 1-4, but just rough it, theyre all pathologic so need work up regardless
Double edit: thought this was for clinical stuff. If it's for uworld/step, agree with the above. You don't have to be good at actually hearing heart sounds at all. Usually know what the heart sound is going to be before even listening based on stemLast edited by ViktorFrankl; 02-25-2016 at 12:07 PM.
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02-25-2016, 02:01 PM #30
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