Thank you very much kind sir... I've spent the last week cursing our Cardiology course lecturers for their stupid way in complicating this topic... I almost lost hope that I would understand it... you are a life saver... your work is much appreciated on my heart apex :)
@dr.musubi18336 жыл бұрын
I have learned so much from your videos and really appreciate your jokes & anecdotes. You are great at simplifying difficult concepts. Your charts and summaries are also so useful, I actually think you should just post the charts somewhere so we can use them as study tools! Thank you again!
@DrSam867 жыл бұрын
thanx a Lot man..u have saved my career with those videos
@moonisahali24515 жыл бұрын
No audio... KZbin please fix it
@promise47756 жыл бұрын
i had an hour 30 mins to study this topic the video saved me
@yahyaelmi84353 жыл бұрын
There’s is no voice or is it me ?
@josannelochanmd5 жыл бұрын
Hi! Paul, the sound for this video is gone somehow.
@Ray243938 жыл бұрын
Thank you soo much for these videos. They have been so helpful even reviewing for general exams. Thanks for all your effort!
@edkensalexandre70436 жыл бұрын
45:28 His reaction was priceless.😂😂🤣🤣 As if he got tired of these findings for the Mitral Valve Prolapse. Oh man I really wish I could hug you right now.
@mejoorita7 жыл бұрын
I love all your videos you're truly a life saver! I seriously owe most of medical knowledge to you
@KaranveerSingh-gz2yf6 жыл бұрын
Thank you very much for such a short overview. Really appreciate the hard work you do in making these videos. Again thanks a lot.
@ghadachakchouk94206 жыл бұрын
thank you for these videos. my lectureres have a great way of complicating things in a way that's inimaginable.
@maramQ5 жыл бұрын
This video has no sound. Anyone experiencing the same problem?
@rehminaf94895 жыл бұрын
I switch to firefox, there was no sound on safari.
@jessewilson0025 жыл бұрын
I have had issues with other videos, but this one has sound for me. I use Chrome.
@mmaman69315 жыл бұрын
Doesn't work on the app but works i chrome
@xDomglmao4 жыл бұрын
@@jessewilson002 FF here
@nnnnn59696 жыл бұрын
I really love your videos and I appreciate all the effort you made on them. May God bless you.
@faryaltahir35973 жыл бұрын
Best explanation ever
@alexhouston867 жыл бұрын
First I want to say I am an IM resident and want to tell you I love your videos. Excellent for quick reference for studying and pimp questions! I do have one question. When talking about Aortic Stenosis you mention that it is the only valvular dz that does require ppx abx. My question is in what situation? Is that before replacement? Or is it preoperative for high risk surgeries for endocarditis? I could be wrong, but I thought that any valve replacement with prosthetic material is grounds for ppx abx. Thank you.
@DrDinooshDeLivera5 жыл бұрын
Dr. Bolin thank you for your work
@DrDinooshDeLivera5 жыл бұрын
Thank you Dr Bolin, really great lecture!
@saulkassin42365 жыл бұрын
No sound!!!
@anandchaudhary74877 жыл бұрын
thank you very much sir. In davidson it is written that Aortic regurgitation murmur is best heard at left sternal border
@feinussayid29383 жыл бұрын
Someone to please share the major differences he mentions on this video compared to the old version of the same topic because there’s no sound on this one
@lk44726 жыл бұрын
No soundd😰
@50hellkat28 жыл бұрын
Very good overview. Thank you.
@samratspeaks7 жыл бұрын
Awesome lectures. But got to admit, blowing through toilet paper holder reference was funny! :D :D
@abidalikhan27866 жыл бұрын
The audio isn't working.
@sherrielevan74007 жыл бұрын
Your videos are game changing! Serious, to the poin,t with need to know information! Just one clarification with MS and ABx prophylactic....it IS required for those with a prosthetic value and not for those with a native valve, per Current 2016.
@umarahisrar24804 жыл бұрын
if it helps anyone, the sound wasnt working on my phone on safari but its working on chrome on my laptop.
@blackdragon4826 жыл бұрын
Since the impingement of the recurrent laryngeal nerve occurs due to left atrial enlargement, could it be possible to find the same sign with mitral regurgitation as that also is associated with LAE? Thanks!
@xDomglmao4 жыл бұрын
Excellent question, thank you for asking. Google says yes: "[...] case reports have described other cardiovascular associations, including left atrial enlargement due to mitral regurgitation or atrial myxoma, severe pulmonary hypertension and congenital heart disease [...]" Source: bjcardio.co.uk/2012/03/ortners-syndrome-an-unusual-cause-of-cough/
@kelatacute5 жыл бұрын
Ur videos r life savers ..... Some of them don't have audio tho....pls pls pls fix tht😖
@intomed6 жыл бұрын
Be advised AHA Recommended Prophylaxis Guidelines were updated in 2017.
@xDomglmao4 жыл бұрын
50:43 I guess squatting does the deal here for the same reason it does in ToF: Increasing the peripheral vascular resistance = incr. BP => incr. flow; in ToF this decreases the right to left shunt (BF so fast, blood just surpasses the shunt and rather enters the lungs), while in MVP the additional blood helps attenuate the clickedy click sound Please correct me if I am wrong :-)
@AnakinMSMP8 жыл бұрын
Just a little correction, it's the Ortner sign, not Ortman
@dr.sumanthmd1417 жыл бұрын
nice
@pvhgj7 жыл бұрын
Good job Anakin
@edandavidson72346 жыл бұрын
Thank you. This is great. Any chance to get the ppt? it will be useful to print and study from
@davidrose5555 жыл бұрын
yes it would Edan. So would your contributing to Dr. Pauls Patreon account. But what's the chance of that?
@oatv5 жыл бұрын
Sound issue solved on this one, working for me (21/11/18)
@hastyarxasraw592 Жыл бұрын
The sound is gone
@assmmaa16 жыл бұрын
Thank you soo much dr for your videos but actullay I'm watching this on august 2018 AND THIS VIDEO HAS NO SOUNDS
@uzmaaslam77967 жыл бұрын
thanks
@Doctor_Sin_Tabu8 жыл бұрын
Thank you Doctor!!!
@alexandersuuley42797 жыл бұрын
Thank you so much
@bomhayhay8 жыл бұрын
Thanks a lot
@wartabu48144 жыл бұрын
Sound prblm is there
@bheeshama6 жыл бұрын
very good
@manarmohan70086 жыл бұрын
Thank u so much u just saved my life ❤️!
@natashaniaz70756 жыл бұрын
thankyou so much
@blackdragon4826 жыл бұрын
Can anyone please explain the rationale of the abx prophylaxis in MVP + MR? In the video it is stated that regurgitant flow is the reason necessitating prophylaxis; Why do the indications differ between sole MR and MVP+ MR?
@wajihkhan86895 жыл бұрын
Please correct the sound problem
@vishaljha84656 жыл бұрын
Cant listen the audio, please correct
@mjl17177 жыл бұрын
This guy is Good!!
@saloniparekh84195 жыл бұрын
Is there no sound on this vedio?
@LA_3378 жыл бұрын
Hi Paul, You mentioned that there is a displaced apical impulse with Aortic Stenosis. Shouldn't it be with Aortic Regurgitation? With Aortic Stenosis the hypertrophy is concentric and with Aortic Regurgitation the hypertrophy is eccentric. Thereby making LVH in Aortic Regurgitation consistent with a finding of a displaced PMI.
@oatv5 жыл бұрын
With aortic stenosis you have to consider the severity of it. If the stenosis is very severe to a point where almost no flux of blood can go through it, then there's an increase of blood volume left in the left ventricule, which will cause an eccentric hypertrophy. This explains why you might find a displaced apical impulse. Up until this stage, the problem is pressure, not volumes, hence concentric hypertrophy, and in this case, the apical impulse can be found in the 5th intercostal space, like it should. Hope I clarified your and whoever has this same doubt. Cheers.
@xDomglmao4 жыл бұрын
@@oatv Thanks, mate!
@agathaagbara6545 жыл бұрын
There is no sound
@Adventuresofadoctor5 жыл бұрын
No sound please
@muhammadfawad40946 жыл бұрын
The most common valvular disease is rheumatic heart disease or mitral valve prolapse?
@oatv5 жыл бұрын
The most common valvular disease is aortic stenosis, if i'm not mistaken, and the most common cause for it is aging (calcification of the cuspids)
@comedy0stuff7 жыл бұрын
I thought digoxin was a rate control med
@thinkelite96065 жыл бұрын
No sound
@nicolesandoval10008 жыл бұрын
Is there any case where valsalva will increase aortic regurgitation? I am reviewing a question I got wrong on a practice exam and the correct answer was that an AR murmur will INCREASE with valsalva.
@oatv5 жыл бұрын
I'm not 100% sure on this, but the Valsalva Maneuver increases the intrathoracic pressure, which at first forces the blood out from the pulmonary circulation and into the left chamber's of the heart, thus increase the stroke volume, which in turn might explain why the regurgitation my increase.
@xDomglmao4 жыл бұрын
Probably way too late but I will ask my professor next week if I don't forget it
@samratspeaks7 жыл бұрын
Dr Paul, you said Right sternal border is where we can find diastolic murmur in case of Aortic stenosis, I think it should be left sternal border.
@SaiKrishna-ew2wr6 жыл бұрын
Samrat Babu Koirala aortic area is on the right side of sterna border.