I'm studying for my PANCE and I absolutely love all of your videos!! One way that I was taught to remember where Mitral Regurg and Aortic Stenosis radiate to is: A man who picks up his child by the armpits (axilla) is a "Mister/Mr." versus a man who picks up his child by the neck (carotids) is an "ASs." I hope this can help someone else :)
you are literally my hero and the reason I pass my EORs. thank you for all the time and effort you put into these videos and podcasts. I truly truly truly appreciate it
Your videos and pods have greatly improved my didactic exam performance, AND ESPECIALLY my quality of life. Thanks to you, I can actually leave my apartment and work out, shop, or whatever else and not miss a beat of study time. THANK YOU!
I used to use the mnemonic "S'ups and Downs" based on where you auscultate S'upS = Systolic murmur on "up" are Stenosis. So "up" meaning upper valves on ausucultation (aortic/pulmonary) DownS = Diastolic murmur in "down areas" are Stenosis. And "down" meaning lower valves on auscultation (Mitral/tricuspid) Hope this helps
Listened to your podcasts casually during PA school, and loving the TH-cam series now as I study for the PANCE!! You do an amazing job, truly, thank you.
These videos are what I look forward to in every block in didactic year! Thank you so much! A pneumonic for the valve locations I learned in PA school that I wanted to share- Apple PiE Tastes Mmm. Aortic, Pulmonic, Erb, Tricuspid, Mitral.
Thank you for your amazing, thorough and concise reviews! I'm on my first rotation and my daily commute is just under 2 hours. I've been using the time to listen to one of your review topics each day and it has been EXTREMELY helpful. Thanks for the taking the time to help us out, we appreciate you!
You make review so much easier! Im in Q5 taking our didactic summative evaluation and although its impossible to go over everything, your videos and podcast make everything so straightforward and highlight the big points to take home. Love it thanks so much!
If anyone else is horrible with remembering nmeumonics (like I am) I remember the diastolics based off of blood flow. So any murmur that has blood going into the ventricles will be diastolic! (pulm/aortic regurs has blood backflow into the vents, tricuspid/mitral stenosis has blood going into vents)
To remember Müller sign I always think of the principal yelling "Bueller!!" (from Ferris Bueller's Day Off); never forgot about the uvula sign after that for aortic regurgitation.
I'm currently in the 3rd semester of my didactic year and I could not survive without your videos! Thank you for posting such great, concise, information! You are amazing!
Much appreciated!! To the point - great summary and excellent ways to remember 😊- we need a good comprehensive NEUROLOGY overview when you have time !!
Thank you so much! I listened to this probably at least 3 times this week while I was either running or cooking, and then again sitting down and taking notes. Super helpful. My clin med exam was today and I made an A. MS OS for the win! Quincke in the Pinky as well.
This is the video that actually helped me find you. Needed help with all the extra stuff from murmurs (causes, hoarseness, opening snaps, etc.). Thank you so much for this!
Seriously THE best podcast/YT channel for PA students. Writing this comment because I'm just grateful for your help. So straight to the point and can always count on your good pneumonic and studying tips. Thanks for truly being the GOAT shapiro.
Hi! Thank you for your video. It would be great if you can add which maneuvers increase or decrease preload/afterload with some visuals. Such as handgrip, squatting, standing, leg raise. Sometimes I still get a little confused with this
Hello my friend how r u doing. I have a question. At the beginning when talking about AR you mentioned the murmurs heard over the ursb and now in the PR is heard on the same spot. coud you clarify plz? Thanks in advance. (min31)
hi! love your videos! quick question though- at 31:58, you say that PS murmur is best heard at the LeUSB but then you say that it is increased with inspiration. I thought that was only for right-sided murmurs? thank you!
So this is a right sided murmur because pulmonary stenosis is a problem with the pulmonary valve that controls blood from the right side of the heart. Don’t focus on where it’s best heard on the chest, that’s not related to which side of the heart it’s affecting. Let me know if that makes sense!
@@cramthepance I had the same question. So, in this case, wouldn't Tricuspid Regurgitation also have RINspiration? since it is affecting the Rt side of the heart? Also, I just want to thank you for making such AMAZING videos!
@@JohanaCeja Thank you! Yep, the murmur of Tricuspid regurgitation increases with inspiration due to increased venous return to the right side of the heart. I believe thats what was said in the video but let me know if not so I can edit it. Where the murmur is best heard though is the left lower sternal border. Rinspiration only refers to if the murmur gets louder with inspiration, not the location of where the murmur is heard. It can be a bit confusing, let me know if that makes sense.
@@cramthepance This makes sense. Thank you for clarifying. Yes, I just went back in the video, and you do mention that TR has RINspiration, I got confused because I didn't see it in the typed notes like you had in the other 3 (PR, PS, TS), but it is definitely mentioned. Thanks again. :)
Correction: 14:00
Aortic Regurgitation is heard best along the left sternal border, at the third and fourth intercostal space.
I'm studying for my PANCE and I absolutely love all of your videos!! One way that I was taught to remember where Mitral Regurg and Aortic Stenosis radiate to is: A man who picks up his child by the armpits (axilla) is a "Mister/Mr." versus a man who picks up his child by the neck (carotids) is an "ASs." I hope this can help someone else :)
you are literally my hero and the reason I pass my EORs. thank you for all the time and effort you put into these videos and podcasts. I truly truly truly appreciate it
Thank you so much!! It makes me so happy to hear the content is helping!
Your videos and pods have greatly improved my didactic exam performance, AND ESPECIALLY my quality of life. Thanks to you, I can actually leave my apartment and work out, shop, or whatever else and not miss a beat of study time. THANK YOU!
I used to use the mnemonic "S'ups and Downs" based on where you auscultate
S'upS = Systolic murmur on "up" are Stenosis. So "up" meaning upper valves on ausucultation (aortic/pulmonary)
DownS = Diastolic murmur in "down areas" are Stenosis. And "down" meaning lower valves on auscultation (Mitral/tricuspid)
Hope this helps
Listened to your podcasts casually during PA school, and loving the TH-cam series now as I study for the PANCE!!
You do an amazing job, truly, thank you.
These videos are what I look forward to in every block in didactic year! Thank you so much!
A pneumonic for the valve locations I learned in PA school that I wanted to share-
Apple PiE Tastes Mmm.
Aortic, Pulmonic, Erb, Tricuspid, Mitral.
Thank you for your amazing, thorough and concise reviews! I'm on my first rotation and my daily commute is just under 2 hours. I've been using the time to listen to one of your review topics each day and it has been EXTREMELY helpful. Thanks for the taking the time to help us out, we appreciate you!
Dude, you are the real MVP!!! (get it? MVP... mitral valve prolapse... this video is about heart murmurs.... I'll show myself out)
😂😂😂 thank you!
You make review so much easier! Im in Q5 taking our didactic summative evaluation and although its impossible to go over everything, your videos and podcast make everything so straightforward and highlight the big points to take home. Love it thanks so much!
I'm so happy to hear the content is helpful! Thank you so much!!
Much love from a clinical year PA student! Love your content and all the mnemonics. Please keep them coming :)
Thank you so much!
MS PRARTS DIED saved my life!!! Thank you!!!
No problem! Thank you!
MS PRARTS DIED so we can FLY!
I am re-watching this video years later and I still remember MS PRATS … best teacher ever.
If anyone else is horrible with remembering nmeumonics (like I am) I remember the diastolics based off of blood flow. So any murmur that has blood going into the ventricles will be diastolic! (pulm/aortic regurs has blood backflow into the vents, tricuspid/mitral stenosis has blood going into vents)
You have not clue how many videos I have watched to understand murmurs. This was incredible! Thanks!!!
I'm so happy to hear it helped! Thank you so much!
To remember Müller sign I always think of the principal yelling "Bueller!!" (from Ferris Bueller's Day Off); never forgot about the uvula sign after that for aortic regurgitation.
Rest in Peace Ms. Prarts
Thanks!
Thank you so much!!
I'm currently in the 3rd semester of my didactic year and I could not survive without your videos! Thank you for posting such great, concise, information! You are amazing!
I’m so happy to hear the content helps! Thank you and good luck in school!!
Much appreciated!! To the point - great summary and excellent ways to remember 😊- we need a good comprehensive NEUROLOGY overview when you have time !!
Thank you! More neuro coming soon!!
Thank you so much! I listened to this probably at least 3 times this week while I was either running or cooking, and then again sitting down and taking notes. Super helpful. My clin med exam was today and I made an A. MS OS for the win! Quincke in the Pinky as well.
Thank you so much and congrats!
This is the video that actually helped me find you. Needed help with all the extra stuff from murmurs (causes, hoarseness, opening snaps, etc.). Thank you so much for this!
No problem!!
sooo helpful for studying for my EORs!! thank you so much!
No problem!! Thank you and good luck on your EOR!
Thank you for these videos man. Really appreciate it. Your videos are helping our cohort tremendously! Please keep em coming
No problem! So happy to hear they are helping, thank you!
LOVE LOVE LOVE the work you do! Also, thank you so much!! PA-S1 and you have helped me get through so much content with a better understanding!
Thank you!!!
You’re a true blessing!
Seriously THE best podcast/YT channel for PA students. Writing this comment because I'm just grateful for your help. So straight to the point and can always count on your good pneumonic and studying tips. Thanks for truly being the GOAT shapiro.
Thank you so much!!!
Just wanted to mention that my entire PA cohort listen to all your videos! Please continue! Would love something over arrhythmias too!
Definitely a topic I plan on covering very soon! Thank you so much!!
Thanks for the videos! I'm studying for my PANCE right now and find them very helpful.
Thank you so much!
Really appreciate all of your content. You are helping me understand cardiology BIG TIME.
Happy to help!
Fantastic, and well-organized to make it easy to remember. Thank you!
Thank you so much!!
SO HELPFUL!!! thank you x1000
6:00 RILE RIGHT INHALATION LEFT EXHALATION
Hi! Thank you for your video. It would be great if you can add which maneuvers increase or decrease preload/afterload with some visuals. Such as handgrip, squatting, standing, leg raise. Sometimes I still get a little confused with this
Everything was covered and a legend was made
Thank you for much for this!!!! Great review!
Thank you!!!
every morning before i go to class i give thanks for my almighty savior scott shapiro
Thank you so much!
If I pass my IM EOR it will be because of you!
Thank you!!!
This video is amazing thanks for the work that you do!
No problem! Thank you!!
GREAT video!! THANKS SO MUCH!!
Thank you!!
Thanks for breaking this down and making this simple
No problem! Thank you!
Thank you for all that you do! Lifesaver, - from a didactic year student
No problem! Thank you!!
Rest in Peace Ms. Prarts
Hello my friend how r u doing. I have a question. At the beginning when talking about AR you mentioned the murmurs heard over the ursb and now in the PR is heard on the same spot. coud you clarify plz? Thanks in advance. (min31)
Great video, I love it not boring at all
Thank you!!
love from india bro🇮🇳,your efforts are much appreciated❤
Thank you so much!!
You are a king!
Thank you!
Video was so so helpful!!
I’m so happy to hear that! Thank you so much!
hi! love your videos! quick question though- at 31:58, you say that PS murmur is best heard at the LeUSB but then you say that it is increased with inspiration. I thought that was only for right-sided murmurs? thank you!
So this is a right sided murmur because pulmonary stenosis is a problem with the pulmonary valve that controls blood from the right side of the heart. Don’t focus on where it’s best heard on the chest, that’s not related to which side of the heart it’s affecting. Let me know if that makes sense!
@@cramthepance I had the same question. So, in this case, wouldn't Tricuspid Regurgitation also have RINspiration? since it is affecting the Rt side of the heart?
Also, I just want to thank you for making such AMAZING videos!
@@JohanaCeja Thank you! Yep, the murmur of Tricuspid regurgitation increases with inspiration due to increased venous return to the right side of the heart. I believe thats what was said in the video but let me know if not so I can edit it. Where the murmur is best heard though is the left lower sternal border. Rinspiration only refers to if the murmur gets louder with inspiration, not the location of where the murmur is heard. It can be a bit confusing, let me know if that makes sense.
@@cramthepance This makes sense. Thank you for clarifying. Yes, I just went back in the video, and you do mention that TR has RINspiration, I got confused because I didn't see it in the typed notes like you had in the other 3 (PR, PS, TS), but it is definitely mentioned. Thanks again. :)
Great content!
Thank you!
amazing video
Thank you so much!!
You're a legend
Haha thank you!!
Ur getting me through PA school what’s ur Venmo😭
where's ASD and VSD?
On a different video about congenital heart disease
excellent
Thank you so much!