Discover and read the best of Twitter Threads about #showmeasign

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1/18 What if I told you that the Frank Starling mechanism which usually serves to ⬆️  the stroke volume with ⬆️ diastolic filling, can actually ⬇️ it in a certain condition?

Discover why this paradox occurs in this 🧵 on Brockenbrough-Braunwald-Morrow sign #CNshowmeasign
2/ But first, some🥼 clinical features that are useful in suggesting a Dx of HCM & differentiating it from fixed valvular obstruction.
3/ Now, your patient has Sx & dynamic murmurs suggestive of HCM.

Congratulations! You have revived the art of bedside diagnosis #medtwitter.. but you still find yourself in a pickle 🥒😂

Echo shows LVOT gradient is <50mmHg at rest and with maneuvers.

What do you do next?
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