Great job, but I think bell over apex initially for S3& S4 , coz S1&S2 heard best by diaphragm.
@dr.salaheasypaces51425 ай бұрын
Bell for all muffled heart sounds including s3&s4 but this in the book s In our clinical practice usually putting the diaphragm of stethoscope with very rare to get docter fucussing with bell. Anyway in clinical stations docters want to pass focusing in murmur in native valve lesions or click in valve replacement the money in the diaphragm and doing the bell auscultation as bullsheat manauver only... Conclusion =focus on the examination steps giving you the diagnosis.
@asooorlan27515 ай бұрын
@@dr.salaheasypaces5142 thanks 🙏 great doctor
@gasimalamin27232 жыл бұрын
This patient has left lateral thoractomy scar which may be due to mitral valvotomy or lobectomy
@mahmudulhasan97092 жыл бұрын
i heard observation of radio femoral delay is not permitted