I appreciate everyone's patience for this video! It took an unusually long time to edit, and came at an unusually busy period for me for patient care. A few additional comments: - Unfortunately, my patient was an example of how not everyone's JVP is equally clear as a demonstration of how JVP is "supposed to" look like. For some great examples of both normal and abnormal JVP, I suggest: physicaldiagnosispdx.com/card-tutorial/#Jugular_Venous_Pulse - I appreciate that some clinicians argue for carotid auscultation to be relegated to the "archaic" maneuver category that we should no longer be teaching everyone. This position is most succinctly outlined in the Aronson paper listed in the above references. In extreme brief, the argument is basically that screening for, confirming via ultrasound or CT angiogram, and "fixing" asymptomatic carotid obstructions initially identified via hearing bruits leads to only small, non-cost-effective benefit. I don't know if the evidence fully supports that position. However, even if it does, patients with carotid bruits do have significantly increased rates of overall cardiovascular death, demonstrating that it's a general marker for atherosclerosis. Therefore, the presence of a carotid bruit could reasonably shift one's threshold for more aggressively treating hypertension or hyperlipidemia in a similar way to prediabetes, obesity or a sedentary lifestyle.
Respiratory (i.e. pulmonary) exam is already posted. The others will be a while since our med school is currently enforcing face masks for all patient and standardized patient encounters.
I appreciate everyone's patience for this video! It took an unusually long time to edit, and came at an unusually busy period for me for patient care.
A few additional comments:
- Unfortunately, my patient was an example of how not everyone's JVP is equally clear as a demonstration of how JVP is "supposed to" look like. For some great examples of both normal and abnormal JVP, I suggest: physicaldiagnosispdx.com/card-tutorial/#Jugular_Venous_Pulse
- I appreciate that some clinicians argue for carotid auscultation to be relegated to the "archaic" maneuver category that we should no longer be teaching everyone. This position is most succinctly outlined in the Aronson paper listed in the above references. In extreme brief, the argument is basically that screening for, confirming via ultrasound or CT angiogram, and "fixing" asymptomatic carotid obstructions initially identified via hearing bruits leads to only small, non-cost-effective benefit. I don't know if the evidence fully supports that position. However, even if it does, patients with carotid bruits do have significantly increased rates of overall cardiovascular death, demonstrating that it's a general marker for atherosclerosis. Therefore, the presence of a carotid bruit could reasonably shift one's threshold for more aggressively treating hypertension or hyperlipidemia in a similar way to prediabetes, obesity or a sedentary lifestyle.
thank you dr strong, the cuality of your videos has improved immensely
Thanks! Unfortunately, the time that it takes to makes these has also increased immensely! ;)
physical exam videos are much needed. I'm OMS2 about to enter rotations and these videos will help me improve my clinical skills
Thank you, Dr. Strong! I can see you've got a real passion for the medicine, unlike quite a number of other doctors I happened to come across.
I have waited for this for a long time
Impressed and equally felt happy that you people cares so much about ethics 😊
Excellent video, waiting excitedly for the abdominal video.
Thanks a lot! This is a great video, well explained for health care workers, especially the nurses like me who plan to return back to school
Absolutely amazing
Дякую, дивлюся вас з України, дуже допомогає пояснити студентам базові аспекти! Дякую ❤
Landmarking interstitial spaces/ribs is my real weakness on some people.
Mine Too 😊
Thank you so much Dr Strong, Kindly Upload for Respiratory, Neurological and MSK examination too 🙏
Respiratory (i.e. pulmonary) exam is already posted. The others will be a while since our med school is currently enforcing face masks for all patient and standardized patient encounters.
Thank you for the great content!
Well detailed
Thanks!
You are very welcome! Thank you!
Thanks
Thank You!
Thankssss
impatiently waiting for abdomen exam
Sir kindly upload video on abdomen exam😢😢😢
Don't worry, it's coming!
Pitting oedema
Pregnancy and Pills
Infected (cellulitis) and impairment (heart, liver, kidney)
TED
Stasis (CVS), starvation
cant we appreciate pocus echo for valve assessment auscultation will be an indication for an echo why not to echo the patient