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Cardio Exam

 
 
 
The Patient
The Hands
The Arms
The Head
The Neck
The Chest - Inspection
The Chest - Palpation
The Chest - Auscultation
The Back
The Abdomen
The Legs
 
 

The Third Heart Sound

 
 
  • The third heart sound (S3) is a pathological finding associated with rapid ventricular filling.
    • Interpretation
    • Listen for a gallop rhythm with an extra heart sound just after S2. This is best heard with the bell of the stethoscope at the apex.
    • Causes of Third Heart Sound
    • Normal in children and young adults
    • Left ventricular failure
    • Severe mitral regurgitation
    • Severe aortic regurgitation
    • Constrictive pericarditis
  • Gallop rhythms are so named due to the similarity of their cadence with that of the sound of a horse galloping.
 
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Associated Diseases
BETA

 
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Farrior III JB, Silverman ME. A consideration of the differences between a Janeway's lesion and an Osler's node in infectious endocarditis. Chest. 1976 Aug 1;70(2):239-43.
Gunson TH, Oliver GF. Osler's nodes and Janeway lesions. Australasian Journal of Dermatology. 2007 Nov;48(4):251-5.
Haber R, Khoury R, Kechichian E, Tomb R. Splinter hemorrhages of the nails: a systematic review of clinical features and associated conditions. International journal of dermatology. 2016 Dec;55(12):1304-10.
Loeys BL, Dietz HC, Braverman AC, Callewaert BL, De Backer J, Devereux RB, Hilhorst-Hofstee Y, Jondeau G, Faivre L, Milewicz DM, Pyeritz RE. The revised Ghent nosology for the Marfan syndrome. Journal of medical genetics. 2010 Jul 1;47(7):476-85.
Mak SM, Strickland N, Gopalan D. Complications of pulmonary hypertension: a pictorial review. The British journal of radiology. 2017 Feb;90(1070):20160745.
Molnar F, Frank CC. Determining the causes of postural hypotension. Canadian Family Physician. 2018 Jan 1;64(1):40-.
Morgan T. Turner syndrome: diagnosis and management. American family physician. 2007 Aug 1;76(3).
Mosterd A, Hoes AW. Clinical epidemiology of heart failure. Heart. 2007 Sep 1;93(9):1137-46.
O’Neill TW, Smith M, Barry M, Graham IM. Diagnostic Value of the Apex Beat. Lancet. 1989 Feb; 334(8661): 499. Link
O’Sullivan OC. On the Nature of High Arched Palate. British Medical Journal. 1934 May; 1(3826): 800. Link
Simonneau G, Gatzoulis MA, Adatia I, Celermajer D, Denton C, Ghofrani A, Sanchez MA, Kumar RK, Landzberg M, Machado RF, Olschewski H. Updated clinical classification of pulmonary hypertension. Journal of the American College of Cardiology. 2013 Dec 24;62(25 Supplement):D34-41.
Watson RD, Gibbs CR, Lip GY. ABC of heart failure: clinical features and complications. BMJ: British Medical Journal. 2000 Jan 22;320(7229):236.
Yasney J. The value of optimising dentition before cardiac surgery. Journal of Cardiothoracic and Vascular Anaesthesia. 2007 Aug; 21(4): 587-591. Link
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