study_ing
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my least favorite part of the curriculum
but apparently tested very frequently on hte exam...
used to ignore caracterisitics like 'blowing/harsh/ soft'
but apparently they r good clues in the exam 
soo llets try to figure out a logical way of dealing with them...
1. what heart sound/murmur is singly most suggestive of Volume overload?
(please contribute to the qs too)
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| study_ing
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well the ans is S3...remember in options where a pt is given with pulmo findings, S3 and S4, the option most suggestive for heart failure is S3.
2.what's s4 most suggestive for??
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| study_ing
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3. blowing murmurs are caused by?
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| muzammil
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s4 is sujjestive for hypertension
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| muzammil
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blowing murmursa are caused by regurjitaion lesions
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| study_ing
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good lets proceed to the next stage..
AS
vs hypertrophic cardiomyopathy...whats unique abt the latter? ( on P/E)
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| study_ing
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5. paradoxical splitting occurs in?
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| muzammil
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i knew it man it just sliiped out of my barin let me think
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| muzammil
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yes in hypertrophic there is late systiloc murmur
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| muzammil
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there is jerky pulse
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| muzammil
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and if i remeber rightly there is assymetrical hypertrophy of septum
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| muzammil
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ther is dynamic obstruction in hypetrophic
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| muzammil
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paradoxical splitting is it left bundle brach block
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| muzammil
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| study_ing
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5. is right mumuzammil.
for 4...think harder..there's a reason y its in stage 2!!
hint 'paradoxical' behaviour with certain manouevers
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| muzammil
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i cant remebr i think it had something to do with valsulva but i dont remebr exactly so whats it study_ing
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| study_ing
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The murmur becomes louder as left ventricular volume is reduced.
Handgrip ------> increase in left ventricular volume ------> decreased murmur.
Valsalva Maneuver: Murmur becomes louder in the late-stage of the Valsalva Maneuver, rather than softer as in most murmurs.
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| study_ing
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btw which leaflet of the mitral valve is abnormal here?
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| Cedrick
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I will remmember
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| study_ing
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effect of squatting?
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