Sir I’ve a few observations about this lecture. Your lectures are great. A lot of people like me are benefited from listening to your lectures. At 17.26 minutes it is written that systolic ejection murmur is diminished with Valsalva But I read some other books like MKSAP 18 board basics page 11, Master the board 3rd edition page 109 that say that in case of HOCM and MPV this murmur will increase with valsalva maneuver/standing and diuretics
Yes Maneuvers that decrease the pre-and/or afterload, such as Valsalva and standing position, may exacerbate the murmur. Mattos, Beatriz Piva e, Torres, Marco Antonio Rodrigues, Rebelatto, Taiane Francieli, Loreto, Melina Silva de, & Scolari, Fernando Luís. (2012). The diagnosis of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy. Arquivos Brasileiros de Cardiologia, 99(1), 665-675
Great series, Dr Bolin! in Question 8, why isn't pericarditis part of the ddx? Diffuse ST elevation and atypical chest pain in a patient with few risk factor for CAD? Thanks, Steven
Thank you Dr Bolin! Have watched your videos repeatedly. Just a suggestion: a Family Medicine/General Practice set of videos and questions would be amazing!
I have an exam at the of this week .. i have no time to study every thing .. will his revision vedios be enough for me to get a good scor or shall i go and try to study by my own ?
Respecter Sir, have you written any book on internal medicine similar to your video lectures? Please let me know sir. That will help me more while learning from you. Thanks Sir.
I´d like to disagree with you on the question nr2. I think the most likely diagnosis would be B. MI with FH. Especially if his dad was found post mortem with CAD. According to litterature up to a third of sudden cardiac deaths in young athletes under age 35 is because of premature CAD. Of course the FH added to the alternative B makes it uncertain. But otherwise with a family history of CAD but not of Hypertrophic Cardiomyopathy it makes the CAD more likely.
I don't think I've ever watched as many videos from a single TH-camr as I have yours, Dr. Bolin! :D
same here, absolutely one of the best channel on YT.
Me too!!! We should totally form a Paul Bolin fan club! Lol
SAMEEE I am an incoming IM PGY-1 and are watching this for review. So good! Thanks Dr. Bolin.
Timing:
Question 01 -- 01:06
Question 02 -- 10:47
Question 03 -- 17:41
Question 04 -- 24:13
Question 05 -- 32:15
Question 06 -- 40:26
Question 07 -- 49:00
Question 08 -- 57:03
Question 09 -- 01:05:28
Question 10 -- 01:14:12
much thanks
Sir I’ve a few observations about this lecture. Your lectures are great. A lot of people like me are benefited from listening to your lectures. At 17.26 minutes it is written that systolic ejection murmur is diminished with Valsalva But I read some other books like MKSAP 18 board basics page 11, Master the board 3rd edition page 109 that say that in case of HOCM and MPV this murmur will increase with valsalva maneuver/standing and diuretics
Kindly send me those books softcopy . wariobaye@gmail.com
Thank you so much for this, what’s your specialty. I’m going to take my recert soon and I stumbled across this video. God bless you for educating us
this is so interesting and the explanations are great. Thanks for putting this content up!!
Doesnt the murmur of HOCM increase in Valsalva due to reduced preload (rather than diminish as you said in your video) ?
That is correct
Yes Maneuvers that decrease the pre-and/or afterload, such as Valsalva and standing position, may exacerbate the murmur.
Mattos, Beatriz Piva e, Torres, Marco Antonio Rodrigues, Rebelatto, Taiane Francieli, Loreto, Melina Silva de, & Scolari, Fernando Luís. (2012). The diagnosis of left ventricular outflow tract obstruction in hypertrophic cardiomyopathy. Arquivos Brasileiros de Cardiologia, 99(1), 665-675
In HOCM, valsalva maneuver increase the systolic murmur but in slide of question 2 you said diminished!
Thank you for sharing your knowledge
Thank u sir
May God bless u
U r doing a gud job👍
Thank you! one question how many IE Heparin do you give to a stable patient with the PE?
Thanks a lot
nice video
The case about HOCM happened to one of my relatives. I love all the cases and I learned a lot. Thank you so much doc!
Great series, Dr Bolin!
in Question 8, why isn't pericarditis part of the ddx? Diffuse ST elevation and atypical chest pain in a patient with few risk factor for CAD?
Thanks, Steven
I actually have already seen Roth spots (MS3) because New Orleans is full of heroin addicts with endocarditis.
Not weird people like Us ...hahaha...at the end while talking about melanoma you said...you are Awesome Sir...Thanks A Lotttt
Thank you so much Paul Bolin ! Your videos helped me pass the SPEX exam for physicians which is a really difficult exam. May Gold bless you
Sir You have a very clear concepts about the topics on medicine.Please keep up the great work.and we too must support you in such noble cause
Dear Sir I have no words to thank you for such lovely lectures.God bless you brother
Thank you Doctor, God bless you and your family.
Agree
Thank you Dr Bolin! Have watched your videos repeatedly. Just a suggestion: a Family Medicine/General Practice set of videos and questions would be amazing!
I have an exam at the of this week .. i have no time to study every thing .. will his revision vedios be enough for me to get a good scor or shall i go and try to study by my own ?
At the end of this week*
isn't updated?
thanks
Respecter Sir, have you written any book on internal medicine similar to your video lectures? Please let me know sir. That will help me more while learning from you. Thanks Sir.
Phenomenal content. :)
Wanna talk about rare? A yoga instructor who smokes. No judgment, though.
still no reteplase for hemodynamically stable PE patients?
Even when I get the question right, this makes me feel so dumb 😂
Dr. B, your videos are amazing; thank you for all you do!
Nice
😹😹😹We so are, Doc, we really are weird people!
Thank you for sharing.
I´d like to disagree with you on the question nr2. I think the most likely diagnosis would be B. MI with FH. Especially if his dad was found post mortem with CAD. According to litterature up to a third of sudden cardiac deaths in young athletes under age 35 is because of premature CAD. Of course the FH added to the alternative B makes it uncertain. But otherwise with a family history of CAD but not of Hypertrophic Cardiomyopathy it makes the CAD more likely.
But I´d like to add, you´re videos are absolutely amazing.
(your)
Lol your dog...
Thank you
Prinzmetal Angina-very useful
Tatiana Kalashnikov
Я надеюсь вы там ничего плохого про меня не написала, я не знаю арабского языка