Approach to the Exam for Aortic Regurgitation (Real Patient and Sounds!) - Stanford Medicine 25

[@rumit9946]

I just confidently diagnosed AR in an asymptotic patient who came in for an unrelated trauma after watching this video. He had LVH signs on the ECG , so the nurses wanted him reviewed. The nurses and Med student were so impressed! He had corrigans pulse, the diastolic murmur, and Watson’s water hopper pulse...I referred him for an Echo. Thanks Sanford 25 your saving lives around the world 🙏

[@newinnovation8826]

Life’s destroyed in Daryaganj Delhi branch. For more details search my KZbin channel new innovation.

[@KE-pe9ds]

Thank you...a real patient for once. Many medical videos use healthy 25-year-olds to demonstrate physical exams of a pathology, be it cardiac, pulmonary, back pain, etc. Good learning experience.

[@StanfordMedicine25]

Thanks for the comment.

[@newinnovation8826]

Daryaganj Delhi branch jayein aur eyes Gavayein. For more details search my KZbin channel new innovation.

[@dcmhsotaeh]

No !Think of it from the patient's point of view. Your illness ,your misfortune is being " used" even if it for a " good" cause even when it is with " consent" Especially in west where patients' language is same as the language of medical discussion Better if the examiner silently ( as if using sign language) does all the maneuvers and tests and then separately alone in the absence of the patient explains his actions giving details of complications differential diagnosis separately .Listening in to the discussion will certainly be traumatic to the toughest of humans

[@vincentdonatelli7253]

@@dcmhsotaeh if a patient agrees to be a participant in a video, all the findings should have been discussed with them before the video was ever filmed. There should be no trauma to the patient for participating in a video.

[@ginjeda]

@@dcmhsotaeh they consented to be in the video, and you're making a lot of assumptions about what that guy thinks or feels.

[@alybec1]

Thanks for the patient and the doctor. I prefer that we introduce the patient in the intro as well. Taking the patient’s permission in the video will add a lesson to the video.

[@Samuel2_S2]

Hope this patient is well today 🙏🏾

[@LittlePurpleBook]

Excellent video! Many thanks to the patient.

[@newinnovation8826]

Excellent video toh theek hae per R&D hoti hae Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@mimipaiz]

i am so sad looking at the patient....but thank you so much Mister for letting learn from your disease...i hope you will be blessed with a long , healthy life 😢

[@EmmaB_MD]

A really informative video thank you, and a special thank you to the patient who was willing to sit and recorded.

[@newinnovation8826]

Kabhi aapnae Daryaganj Delhi branch sae ilaj nehi kervaya hoga. For more details search my KZbin channel new innovation.

[@newinnovation8826]

Information hi hae ilaj nehi. For more details search my KZbin channel new innovation.

[@newinnovation8826]

Eak information aur jaan ligiye Daryaganj Delhi branch ki. For more details search my KZbin channel new innovation.

[@s.u.k.k.u8765]

This channel is a boon for medicos. Thanks a lot.

[@rumit9946]

This is so well done. I’m in awe. FOAMED rocks!

[@newinnovation8826]

But patients is not well in Daryaganj Delhi branch. For more details search my KZbin channel new innovation.

[@ishakgarba4967]

This is amazing …just finished reading about it in my internal medicine textbook….to be honest this seems clearer kudos👍

[@khanahmadsalehin410]

Thank you for excellent practical presentation in AR.

[@StanfordMedicine25]

Glad you enjoyed it!

[@newinnovation8826]

Excellent eyes khraab hoti hein Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@dr.husameddinalaila6725]

That's a great video. I love how all your videos are done on real patients with real findings rather than healthy simulators. I also want to ask, what type of stethoscope is this and how much (roughly) dose it cost ?. Because it would be very helpful if I used one of them to demonstrate the real sounds live for my students. Thanks in advance

[@StanfordMedicine25]

Thanks for your message. Both Eko and Thinklabs make decent digital stethoscopes. You can save the recordings on both.

[@dr.husameddinalaila6725]

Thanks for your reply. I looked for both of the companies you mentioned, but I'm not sure if the stethoscope in the video is one of these two companies' products. Littmann also produces digital stethoscopes but they are pretty expensive. If you could please provide me with the exact name of this product used in the video I'll be thankful to you.

[@StanfordMedicine25]

It's an older thinklabs stethoscope. Don't think it's sold anymore. They now sell the one on their site. Though the Eko might be a better one now. Good luck!

[@dr.husameddinalaila6725]

Eko CORE Attachment is relatively cheap, I'll try to get one and attach it to my own usual littmann stethoscope. Thank you so much

[@m.koushikreddy6677]

deserves lot more views

[@sana-op4kf]

thank u ! and this doctor is prettier than my life

[@newinnovation8826]

Life pae chlta hae knife. Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@subigya01]

What a brilliant demonstration 😲

[@user-yj1ju6ru1j]

Thanks for the clinical findings section at the end, and for the accompanying photos

[@leilaelidrissi7385]

A big thank you for the patient

[@docchethanr]

Thank you Mr.Patient!

[@dwanejohn4136]

Such an amazing explanation.Thank you

[@s.u.k.k.u8765]

Just awesome. Thanku very much for such a nice video. Thanks to the patient also. 🙏🏻

[@newinnovation8826]

Thanks hi karo. IlAJ mat kervana Daryaganj Delhi branch mae for more details search my KZbin channel new innovation.

[@BoredatroundSI]

Asscultation.

[@StanfordMedicine25]

I was waiting for that one.. :-) - Errol

[@vairagya108]

Dr Errol..... btw, you're distractingly hot.

[@ibthajk5307]

RAALES

[@makeupproducts2528]

@@StanfordMedicine25 sir plz Suggest me Treatment Aortic Regurgitation mild & tricuspid regurgitation mild both are same conditions Treatment Surgery Or medicine ? plz guide me

[@darthvader1927]

@@vairagya108 Landolfi's sign with systole there is miosis of eyes and With Diastole there is Mydriasis 😊

[@jchen1670]

Awesome video for NP as well.

[@hwendles]

Great video! Excellent discussion around expected peripheral signs and causes with helpful use of diagrams

[@sagorahmed9219]

Great Presentation.... 😍

[@nihelklouche6768]

THANK YOU so much for sharing you have a great method of teaching

[@StanfordMedicine25]

Thank you Nihel

[@newinnovation8826]

Teaching milegi Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@novu16]

can you plz do systolic murmur too, best murmur KZbin, it clinically relevant n really helped me alot been struggling till now, thank you

[@B3bita1215]

I'm sorry, but I had to play this vid a few times lolll I got so distracted with you doc. You're such a handsome man. Please Jesus send me one of those my way 😩🙏🏼 Excellent demonstration though. Thanks so much for sharing.

[@neonneiae2518]

Super, ..!! Thank You Stanford. .!!!

[@newinnovation8826]

Super sae uper hae Daryaganj Delhi branch. For more details search my KZbin channel new innovation.

[@hossamyasser8651]

Thank you so much. A lot of thanks to you, doctor.

[@yasir.world07]

simply awesome Presentation

[@dananas9131]

Thanks to the patient!

[@newinnovation8826]

Thanks nehi Think hae Daryaganj Delhi branch. For more details search my KZbin channel new innovation.

[@TheStandade]

this is awesome. thanks doc! thanks for the patient too :)

[@newinnovation8826]

Thanks bolna Daryaganj Delhi branch mae ilaj kerwaker. For more details search my KZbin channel new innovation.

[@dayo.s2512]

Excellent video

[@emilymontague8550]

Great video, thanks both

[@darthvader1927]

Thanks alot sir, and all the team from India Occupied Kashmir ❤️

[@eslamelwany]

I loved the way he says the clinical signs of heart failure depending on diastolic or systolic HF is the systolic HF signs similar to that of Lt ventricular signs And diastolic HF similar to RT ventricular signs ?

[@StanfordMedicine25]

Thank you for the comment Eslam. Your question really is about fundamental heart failure and does require some additional learning to understand but here's a brief explanation. Diastolic and systolic heart failure differ in meaning from left vs right heart failure. In systolic failure, you have decrease output of the heart. All systolic HF has diastolic HF. But not all diastolic HF has systolic HF. For left HF, you are talking about thinks like fluid in the lungs since the lungs are behind the left heart. In right heart failure, an example would be extra fluid in the legs since the systemic veins are behind the right heart. Hope this helps a little.

[@malak3229]

Thanks to u & for ur pt♡♡♡♡

[@megrockshobossocks]

Very helpful. Thank you!

[@StanfordMedicine25]

Thank you!

[@newinnovation8826]

Help hogi Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@dr.debajyotipaul9362]

Excellent video. Please post more videos of the other murmurs.

[@dxstar7597]

awesome video 👌👌

[@StanfordMedicine25]

thank you!

[@yuriscorrales6101]

correct me if I'm wrong .I think AR is heard on Left sternal border (Erb point ) not left lower sternal border ? .The left lower sternal border is reserved for the tricuspid area

[@marktigno4535]

I am diagnosed with Moderate to Severe AR (asymptomatic) secondary to Infective Endocarditis. Vegetation is located at the Anterior and Posterior leaflet of my Aortic Valve. Currently on my 5th week of Antibiotic Treatment. Can anyone let me know (for my peace of mind), will the AR disappear once the bacteria/vegetation is cleared by the Antibiotics? Thank you in advance to anyone who can answer my question. 🙏

[@nelnel6593]

perfect video. thanks

[@StanfordMedicine25]

You're welcome!

[@newinnovation8826]

Video perfect. But no effect Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@Asma-elsafy]

Amazing 😍

[@eswarnani2042]

Really very helpful., thank u soo much . could u pls place the link of ur website so that we could go through all vedios .

[@StanfordMedicine25]

stanfordmedicine25.stanford.edu/

[@eswarnani2042]

@@StanfordMedicine25 Thanks a lot doc😊

[@newinnovation8826]

Really helpful hae Daryaganj Delhi branch for more details search my KZbin channel new innovation.

[@Mr.medicine99]

Can i use part of this video for my demonstration?

[@dramina2326]

Awesome video. Many thanks to the patient. Before starting the auscultation, showing how to take consent would be nice.

[@darthvader1927]

Amina Chaudhary kaha se hou, Pakistan

[@jackpatel476]

Awesome ...

[@newinnovation8826]

Something is wrong in Daryaganj Delhi branch. For more details search my KZbin channel new innovation.

[@dwvdsupriya]

Thanks a lot Sir!

[@vipulabataduwaarachchi7833]

Excellent

[@newinnovation8826]

Excellent for Tent. Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@esrahamid328]

Thank you

[@mbs6585]

Very helpful

[@마이-b8r]

Thanks 🌼🌿

[@dtk7728]

Great pal

[@noorahmadlari]

It's a great video on AR. However, some more important clinical signs could also have been demonstrated. e.g. Hill's, Lighthouse , Pulsatile Uvula etc.

[@StanfordMedicine25]

Thanks for the comment Noor. Wouldn't consider those signs so important as they are less common. Though if you find them, great for you! We in fact do teach them during our interactive sessions but but really demonstrated as again, not common. The will be on our website once I create it soon. FYI, if you find any of those signs, please send them to us! Thanks

[@noorahmadlari]

Stanford Medicine 25 Sure, sir, that would be my pleasure.

[@Atgitsingg67uyyji]

Gurur duydum :) inşallah bana da nasip olur bir gün :)

[@newinnovation8826]

Garibon ki eyes per R&D hoti hae Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation

[@yousefreda6020]

I was going to ask if thats how u pronounce auscultation "asscaltation" Lol otherwise this was very informative. Im here in Canada. The way they organize it is by checking vitals first looking for wide pulse pressure then doing head and neck changes and moving downwards. However this is another good approach to it. Thanks !

[@newinnovation8826]

Aproch ki shouch in Daryaganj Delhi branch mae for more details search my KZbin channel new innovation.

[@meghanasnaik3697]

Sir can u please explain that water droping sound on auscultation.

[@abirkhan9940]

Thank you very much

[@Selvakumar-on7sx]

I can't the link for Aortic regurgitation in your website.. can you please help me with it??

[@StanfordMedicine25]

sorry this is coming VERY soon!

[@若葉戸川]

Thanks a lot

[@katdeekelly3228]

What would cause pulsation in the neck on only the right side?

[@peninapearl6491]

What is Head bobbing in AR?? How to do that please?

[@tinge1990]

Hey, I cannot find the relevant link to the page about aortic regurgitation on your website. Perhaps you should have a direct link to the website since you have referenced it many times in your video

[@StanfordMedicine25]

Sorry, it's not live yet. We have it coming soon! Will be making blog posts with cases to go with is as well.

[@vd.matheusmacedo]

Great video! Thank you so much! Just one comment: you introduced yourself, wouldn't it be proper to introduce the patient? He's a human being, seems rude not to acknowledge his presence.

[@StanfordMedicine25]

All based on patient preference Matheus. In this case, we were trying to be respectful of him and also didn't use real name per his request. In the end teaching our clinicians is really all about the patient. This video was only possible because he was willing to be part of this.

[@vd.matheusmacedo]

Stanford Medicine 25 Thanks for clarifying it and thanks for the great videos!

[@newinnovation8826]

Proper safer hae Daryaganj Delhi branch mae for more details search my KZbin channel new innovation.

[@shawnlynch9658]

JUDGEMENTAL AND OVERSMART!

[@romeysatab5979]

Wow thanks

[@_bb_3321]

he cute😚💖

[@newinnovation8826]

Cute. Daryaganj Delhi branch sae ilaj kervaoge toh aankhein ho jaye mute. For more details search my KZbin channel new innovation.

[@MrFrusciante]

Saygılar hocam :) Respect mr erol :)

[@YtsweatyEyadHaddara]

Thx 🙏🏿

[@joellencover8275]

I'm 27, have cardiophobia, I can see pulse faintly if I stare at the notch , now I think I have a anerysym. Constantly checking heart rate, paying attention to my pulse.

[@cachajotv9233]

Me too, i have visible pulsation in my suprasternal notch. My ecg and echo are normal...

[@dianaaros]

Do you still have this?

[@abhijeetrai2173]

I'm listening this in myself, what should I do

[@moonisahali2451]

Thanks

[@RohithSureshKumar]

Could u explain duroziez sign?

[@newinnovation8826]

No explain. Only money gains Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@officialpahadis411]

Is any dr plj can explain abt mild arotic reguligation

[@newinnovation8826]

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[@alaminmahmudul2166]

tnk you..

[@remelyabrigo9614]

How about the treatment??

[@newinnovation8826]

Treatment eyes Kho deta hae patiaint. Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@gowsalya3182]

Wats your site name i dont get it..

[@newinnovation8826]

Not got, verna khaogae eyes ki chot. For more details search my KZbin channel new innovation.

[@yupthatit]

this rocket league update is insane!

[@gregnettles3677]

What does it mean when the patient has high blood pressure 150/100?

[@newinnovation8826]

B. P. Aur high ho jayega Daryaganj Delhi branch mae. For more details search my KZbin channel new innovation.

[@lostSempaiWissame]

Anybody can tell me what’s the name of this doctor please ???

[@Jaffaraza]

What's asscultation?

[@wojciechr9789]

I didn’t know that Joel Fleischman is a real doctor

[@joellencover8275]

I thought we all could see pulse in that notch

[@hawk7712]

2:37

[@danialdinarvand1985]

your pulses deficit is wrong... its difference in HR vs PR... what happened to carotid Ass kol taytion [Auscultation] :)))

[@nicolasmossof.4637]

👏🏽👏🏽👏🏽

[@deepwithin6517]

💜❤️💚

[@awmiachuq4243]

dayumm, doc is hot

[@Creycan]

👍

[@Bromocriptine777]

Anyone else here for their own symptoms? Haha

[@ChrisGWGreen]

Cant hear anything if you keep talking....

[@joellencover8275]

Need help

[@lubbaby208]

uh why is this guy hot af

[@wholeNwon]

Mispronunciation, of course. At least in the patient's presence, it's better to say "exhale" rather than "expire", for obvious reasons. Several grammatical errors that a doctor of medicine should not make. It seems that perhaps you don't really know what a waterhammer is and how Corrigan's waterhammer pulse is usually detected. There ARE not "there's". One doesn't consider measuring the BP in both upper extremities, one always does it. I was just thinking about the historic figures for whom some of the many signs of AI are named. Of course, Roth spots occur in several diseases.

[@shawnlynch9658]

ANOTHER OVERSMART PERSON!EWWW!