(1/9) #Physicalexam #Tweetorial @VCU_IMRes Cardiac auscultation is all about identifying normal from abnormal sounds. Like any skill this takes practice. In 1904 Dr Charles W. Larned published how to “mimic” heart sounds
Here is how to practice without a patient or even a heart! (2/9) Set Up: While listening to your stethoscope, take the diaphragm in the palm of your hand and grasp it firmly
The following runs through how to make some basic cardiac sounds. Sounds where recorded with @thinklabs electronic stethoscope – no hearts used! #meded #medtwitter

(1/8) #PhysicalExam #tweetorial
60 y/o hx of seizures & cirrhosis presenting after seizure & found to have distended abdominal wall veins. What is the cause? @VCU_IMRes @bedsidemedicine @StanfordMed25 @NateWarnerMD @AndreMansoor @PresRCPEdin (Consent was obtained per protocol) (2/8) Bonus: what are the physical exam clues of cirrhosis? Any present here? @liverprof @scall1200 @rvawellmd @cderekleiner @michellebr00ks @medrants @CPSolvers @rabihmgeha @DxRxEdu @eozdalga @jackpenner @cjchiu @thecurbsiders @PaulNWilliamz @mia_bahagry