If it helps anyone remember it, RILE is a good mnemonic for knowing that Right-sided valve murmurs are louder with Inspiration (RI) and Left-sided are louder with expiration (LE).
I had my OSCE exam yesterday. And I must say, this helped me a lot. Although I missed a bit of the assessment, but I think I did well. Thank you so much. ❤
So helpful for my DNP skills test out!! Thank you so much for instructing at a reasonable pace and for providing specifics for landmarks and normal vs abnormal sounds and findings! Excellent content!! 🩺
They sometimes recommend palpating for dextrocardia before looking for the Apex. Most times it is unnecessary but it helps on the of chance it shows up and consultants like to see you do it.
PLEASE HELP! When he does the accentuation manoeuvres for the aortic regurgitation why does he put the stethoscope on the left sternal edge? Should it not be the right sternal edge of the second intercostal space? Isn't that where the aortic valve is heard best? Thank you! Great video :)
well for aortic regurgitation we listen to left sternal border area because in AR volume is coming back to LV, not going forward. For AS one should put the stethoscope to right sternal border at aortic area.
Anatomically the aortic valve is at the left sternal edge. This means that when the blood flows backwards due to the regurgitation, it will rub against the aortic valve which is at the left sternal edge. Listening at the 2nd intercostal space is mostly just for aortic stenosis.
So helpful, thank you!! Should we also palpate poptilteal, posterior tibial and dorsalis pedis artery? Also, is it a correct method to check for DVT by pressing on patient's shin and looking for tenderness on their face? And should we also check for temperature on legs just like arms?
Nice 👍...You should have also done clinically palpable P2 and in auscultation aortic regurgitation.(how to check radiation of aortic regurgitation) Moreover while palpating all valves of heart you must not remove your thumb from carotid artery as you’re checking for thrill whether systolic or diastolic. Thank you very much for sharing this video. Dr khalid
Still enjoy watching this as I prepare for my first internal medicine exam! Thank you! Was just wondering at 5:53 min the aortic regurgitation murmur sounds a lot like continuous murmur and quite machinery, is it not a Patent Ductus Arteriosus murmur ?
For aortic regurgitation murmur, you auscultate at the left 2nd IC region in the video. Shouldn't this be on the right side, since that's the place of the aortic valve?
Remember that you aren't really auscultating the valves directly, you're hearing their transmitted sounds/echoes through the nearest blood vessel/space that's not covered by the sternum or ribs, see this pic www.stethographics.com/heart/images/sites.jpg
but when you listen for aortic murmurs, you put stethoscope at 2nd ICS right sternal edge cuz that's where aortic murmurs radiate to. But I don't get why when you're doing the manoveure to make aortic murmur louder, you put stethoscope on lower left sternal edge?
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If it helps anyone remember it, RILE is a good mnemonic for knowing that Right-sided valve murmurs are louder with Inspiration (RI) and Left-sided are louder with expiration (LE).
thank you :)
thanks mate
Thank u
Thanks
Thanks man🤞
I had my OSCE exam yesterday. And I must say, this helped me a lot. Although I missed a bit of the assessment, but I think I did well. Thank you so much. ❤
I have osci tomorrow 🥹❤️
How did you do? @@sarahfuad7298
Preparing my osce at the last years, you have been so helpful for me
Thank you very much
That’s fantastic to hear Ro!
Wow, heart sounds as well? Thanks guys.
Glad you like the new video :) More coming very soon 🎉
Wow, another amazing video. Thank you guys for including the heart sounds, including murmurs and regurgitations. Awesome work!
Andrew, you must be so good at your clinical skills as you're practicing for so long and that too with ethics
Andrew has been a final year med school for sooo long lol. ;)
Hahahah
Yeah poor guy keeps failing his OSCEs
@@cristomathew9171 no. he is currently doing his Masters in America.
@@drdj69 whooooosh
Hahah
thank you. I am going to have test about Clinical Skill next week. This video help me to review the lecture. Thank you very much
This is everything I needed in a video. Thank you for the effort , y’all know what you’re doing
Your way of teaching is amazing... It helps to take notes also.. nice !!❣️.. keep on doing.. it makes us to prepare for exams easier...tq..❤️😁
My osce examination gonna be tomorrow.. and you just make me waiting for it. Thank you🙏🏻
how did it go? x
Nia’am Mater 💗
He had been final year medical student since 2017
So helpful for my DNP skills test out!! Thank you so much for instructing at a reasonable pace and for providing specifics for landmarks and normal vs abnormal sounds and findings! Excellent content!! 🩺
Poor James. Severe MR, AS and some of the worst AR I’ve ever heard. It’s a miracle he looks so comfortable at rest. Wish him all the best.
I doubt those were his actual heart sounds,I guess the producer added those sounds so we have a sense of what the pathology sounds like...
@@oluseyeoluwafemi5135he was being sarcastic relax
Those were not real sounds
the joke went right over your head @@oluseyeoluwafemi5135
👏👏👏many thanks for free teaching for every eager to learn more in a world
These comments have me realizing that people actually watch these for the educational content. I watch them because they’re relaxing.
They sometimes recommend palpating for dextrocardia before looking for the Apex. Most times it is unnecessary but it helps on the of chance it shows up and consultants like to see you do it.
Amazing job, very clear
Suis en train de me préparer pour le examen practical final de Médecine. Merci pour cette vidéo. Bon courage à moi 2:30
Thanks, helped My last OSCE in 2022
Thanks 🙏🏻 from Libya 🇱🇾
Really nice and helpfully explained in easy way..
Wonderful presentation. These videos have been so useful.
That's a great video. Many thanks from Poland!
Your videos are extremely helpful! Thank you so much! :)
i have an osce tomorrow thanks!!!
My OSCE medicine exam at 8:00 am after 6 hours
Was totally wondering what ever happened with Andrew it’s awesome to see a new video 🤙
You’ll be seeing more of him soon :)
best ASMR for me
I love this video, thank you so much! So interesting with all the sounds!!
PLEASE HELP! When he does the accentuation manoeuvres for the aortic regurgitation why does he put the stethoscope on the left sternal edge? Should it not be the right sternal edge of the second intercostal space? Isn't that where the aortic valve is heard best?
Thank you! Great video :)
well for aortic regurgitation we listen to left sternal border area because in AR volume is coming back to LV, not going forward. For AS one should put the stethoscope to right sternal border at aortic area.
Anatomically the aortic valve is at the left sternal edge. This means that when the blood flows backwards due to the regurgitation, it will rub against the aortic valve which is at the left sternal edge. Listening at the 2nd intercostal space is mostly just for aortic stenosis.
This has truly prepared me for my rotation.
This is amazing and very informative ... Thank you ☺️
that's what we needed
thank you guys, that was amazing!
Glad you found it useful :)
AYEEEE WE HAVE THE SAME STETHOSCOPE
So helpful, thank you!! Should we also palpate poptilteal, posterior tibial and dorsalis pedis artery? Also, is it a correct method to check for DVT by pressing on patient's shin and looking for tenderness on their face? And should we also check for temperature on legs just like arms?
Share your Mnemonics here:
Thanks so much
What are we meant to feel for in a normal person when assessing the collapsing pulse
Nice 👍...You should have also done clinically palpable P2 and in auscultation aortic regurgitation.(how to check radiation of aortic regurgitation)
Moreover while palpating all valves of heart you must not remove your thumb from carotid artery as you’re checking for thrill whether systolic or diastolic.
Thank you very much for sharing this video.
Dr khalid
This was great guys! Thanks a ton! :)
Thank you ,these videos are very helpful.
It's very important examination
Thanks for posting!
Thank u very much these vidoes help us
Thank you شكرااا
Amazing!!! Thank you so much for this ♥️
I love this video, it’s cool
Excellent, thanks
thanks dr this is so helpful
This is a well done video! Do you auscultate Erb's space in the UK?
In the video he auscultates at Erb's space when the showed aortic regurgitation.. they just didin't mention it as being Erb's space
Great effort 🌷 thanks alot doctors🌺🌺
Still enjoy watching this as I prepare for my first internal medicine exam! Thank you!
Was just wondering at 5:53 min the aortic regurgitation murmur sounds a lot like continuous murmur and quite machinery, is it not a Patent Ductus Arteriosus murmur ?
Thank you for your valuable information
Excellent video
Superb video
This helps me a lot
Thanks
Heart sounds .....amazinnģ!!!!
Thanks ...from iraq ..karbala
Excellent sir 🙏
WOW! Thank you for this video
Waw this is an Amazing thank you so much it helps me allot
Excellent 👌👍
Great teacher ❤🇵🇰
Thank you sir, you are the best.
Wow. Very useful. Subscribed
Thanks guys ❤️❤️
Is it general practise to also inspect for Cachexia in CVS patients? If yes then what's the reason with a brief pathophysiology if possible
the angle of the bed for this exam should be 45° right?
Yup
Not necessarily.
45 degree is just standard
45 helps when observing for jugular vein distension
For aortic regurgitation murmur, you should auscultate over the 5th intercostal space at the left sternal edge, and not over the 2th ic region
Actually 3rd ICS LSB known as erbs point
Yes
Thank you
Wow good one
Thank you !!
Easy way to understand
I wish new doctor was like that but no questions are asked from my Doctor.
Nice Video sir !!!
Happy Birthday James! Lol.
fantastic video,,,
Awesome thanks
Thanks!!
Please slow down the words on the videos it’s hard to watch and still keep track of the words 🙏🏽
Just change the playback speed to 0.75
Pause?!
Ty so much sir
Thanks
Excellent 👌👌👌
Thanks a lot
Helpful
Hiiiiii Isn't JVP something you should measure rather than mere inspection?
In pulmonary oedema,i thought u hear fine crepts not coarse. Am i wrong?
Now im study 12:02 am and osce exam srart at 8 am
you forget mentioning radio-femoral delay. otherwise great video.
I was searching this commentary
what about checking blood pressure?
a medical procedure, should be done everytime
How can I get written dialogue of this video?
Just wanna ask why we hv to auscultate twice for each valve? And the second one with bell?
The bell is used to emphasize the low-pitched sounds, like in third heart sounds and murmurs.
we listen to low-pitched sounds with bell --> listen to murmurs
5:55 i thought I should use the bell for murmurs? or does it really matters?
James shares the same birthday as Tswift
For aortic regurgitation murmur, you auscultate at the left 2nd IC region in the video. Shouldn't this be on the right side, since that's the place of the aortic valve?
Generally auscultating at the sternal edge is fine, the left sternal edge is usually quoted however.
Ok, thanks for the reply.
Aortic valve located in the left if Iam not mistaken
Remember that you aren't really auscultating the valves directly, you're hearing their transmitted sounds/echoes through the nearest blood vessel/space that's not covered by the sternum or ribs, see this pic www.stethographics.com/heart/images/sites.jpg
but when you listen for aortic murmurs, you put stethoscope at 2nd ICS right sternal edge cuz that's where aortic murmurs radiate to. But I don't get why when you're doing the manoveure to make aortic murmur louder, you put stethoscope on lower left sternal edge?
December 13, 1989? Is James secretly Taylor Swift?
Thx👍