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 🙏
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.
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
@@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.
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.
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 😢
Many thanks for this excellent resource. Just to emphasise; to further investigate AR, you would do a CXR (which may show an enlarged heart and a calcified valve), an ECG (which may show evidence of LVH) and an echo to find the aetiology, look at the morphology of the valve and grade the severity of the regurgitant valve.
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
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.
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!
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.
@@StanfordMedicine25 sir plz Suggest me Treatment Aortic Regurgitation mild & tricuspid regurgitation mild both are same conditions Treatment Surgery Or medicine ? plz guide me
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. 🙏
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
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.
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 ?
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.
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 !
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.
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.
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.
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
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
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.
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 🙏
Life’s destroyed in Daryaganj Delhi branch. For more details search my UA-cam channel new innovation.
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.
Thanks for the comment.
Daryaganj Delhi branch jayein aur eyes Gavayein. For more details search my UA-cam channel new innovation.
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
@@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.
@@dcmhsotaeh they consented to be in the video, and you're making a lot of assumptions about what that guy thinks or feels.
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.
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 😢
Hope this patient is well today 🙏🏾
Excellent video! Many thanks to the patient.
Excellent video toh theek hae per R&D hoti hae Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
A really informative video thank you, and a special thank you to the patient who was willing to sit and recorded.
Kabhi aapnae Daryaganj Delhi branch sae ilaj nehi kervaya hoga. For more details search my UA-cam channel new innovation.
Information hi hae ilaj nehi. For more details search my UA-cam channel new innovation.
Eak information aur jaan ligiye Daryaganj Delhi branch ki. For more details search my UA-cam channel new innovation.
This channel is a boon for medicos. Thanks a lot.
This is so well done. I’m in awe. FOAMED rocks!
But patients is not well in Daryaganj Delhi branch. For more details search my UA-cam channel new innovation.
Many thanks for this excellent resource. Just to emphasise; to further investigate AR, you would do a CXR (which may show an enlarged heart and a calcified valve), an ECG (which may show evidence of LVH) and an echo to find the aetiology, look at the morphology of the valve and grade the severity of the regurgitant valve.
This is amazing …just finished reading about it in my internal medicine textbook….to be honest this seems clearer kudos👍
deserves lot more views
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
Thanks for your message. Both Eko and Thinklabs make decent digital stethoscopes. You can save the recordings on both.
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.
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!
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
thank u ! and this doctor is prettier than my life
Life pae chlta hae knife. Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Thank you for excellent practical presentation in AR.
Glad you enjoyed it!
Excellent eyes khraab hoti hein Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Awesome video for NP as well.
can you plz do systolic murmur too, best murmur UA-cam, it clinically relevant n really helped me alot been struggling till now, thank you
A big thank you for the patient
Thanks for the clinical findings section at the end, and for the accompanying photos
What a brilliant demonstration 😲
Such an amazing explanation.Thank you
Thank you Mr.Patient!
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.
Just awesome. Thanku very much for such a nice video. Thanks to the patient also. 🙏🏻
Thanks hi karo. IlAJ mat kervana Daryaganj Delhi branch mae for more details search my UA-cam channel new innovation.
Asscultation.
I was waiting for that one.. :-) - Errol
Dr Errol..... btw, you're distractingly hot.
RAALES
@@StanfordMedicine25 sir plz Suggest me Treatment
Aortic Regurgitation mild & tricuspid regurgitation mild both are same conditions Treatment Surgery Or medicine ? plz guide me
@@vairagya108 Landolfi's sign with systole there is miosis of eyes and With Diastole there is Mydriasis 😊
Thank you so much. A lot of thanks to you, doctor.
THANK YOU so much for sharing you have a great method of teaching
Thank you Nihel
Teaching milegi Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Great Presentation.... 😍
Thanks to the patient!
Thanks nehi Think hae Daryaganj Delhi branch. For more details search my UA-cam channel new innovation.
Super, ..!! Thank You Stanford. .!!!
Super sae uper hae Daryaganj Delhi branch. For more details search my UA-cam channel new innovation.
Great video! Excellent discussion around expected peripheral signs and causes with helpful use of diagrams
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. 🙏
Great video, thanks both
Excellent video
simply awesome Presentation
Thanks alot sir, and all the team from India Occupied Kashmir ❤️
Thanks to u & for ur pt♡♡♡♡
this is awesome. thanks doc! thanks for the patient too :)
Thanks bolna Daryaganj Delhi branch mae ilaj kerwaker. For more details search my UA-cam channel new innovation.
Excellent video. Please post more videos of the other murmurs.
Very helpful
perfect video. thanks
You're welcome!
Video perfect. But no effect Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
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
Thank you
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.
Me too, i have visible pulsation in my suprasternal notch. My ecg and echo are normal...
Do you still have this?
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 ?
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.
Can i use part of this video for my demonstration?
Very helpful. Thank you!
Thank you!
Help hogi Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Amazing 😍
Great pal
awesome video 👌👌
thank you!
Sir can u please explain that water droping sound on auscultation.
Excellent
Excellent for Tent. Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Awesome ...
Something is wrong in Daryaganj Delhi branch. For more details search my UA-cam channel new innovation.
What would cause pulsation in the neck on only the right side?
Thank you very much
Thanks a lot
Thanks 🌼🌿
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 !
Aproch ki shouch in Daryaganj Delhi branch mae for more details search my UA-cam channel new innovation.
I'm listening this in myself, what should I do
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.stanford.edu/
@@StanfordMedicine25 Thanks a lot doc😊
Really helpful hae Daryaganj Delhi branch for more details search my UA-cam channel new innovation.
What is Head bobbing in AR?? How to do that please?
Wow thanks
Awesome video. Many thanks to the patient. Before starting the auscultation, showing how to take consent would be nice.
Amina Chaudhary kaha se hou, Pakistan
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.
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.
Stanford Medicine 25 Thanks for clarifying it and thanks for the great videos!
Proper safer hae Daryaganj Delhi branch mae for more details search my UA-cam channel new innovation.
JUDGEMENTAL AND OVERSMART!
Anybody can tell me what’s the name of this doctor please ???
Thanks a lot Sir!
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.
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
Stanford Medicine 25 Sure, sir, that would be my pleasure.
I can't the link for Aortic regurgitation in your website.. can you please help me with it??
sorry this is coming VERY soon!
What's asscultation?
Thanks
Thx 🙏🏿
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
Sorry, it's not live yet. We have it coming soon! Will be making blog posts with cases to go with is as well.
Could u explain duroziez sign?
No explain. Only money gains Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
tnk you..
How about the treatment??
Treatment eyes Kho deta hae patiaint. Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Is any dr plj can explain abt mild arotic reguligation
Explain nehi EX. Ker dete hein Daryaganj Delhi branch kae drs. For more details search my UA-cam channel new innovation.
Gurur duydum :) inşallah bana da nasip olur bir gün :)
Garibon ki eyes per R&D hoti hae Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation
What does it mean when the patient has high blood pressure 150/100?
B. P. Aur high ho jayega Daryaganj Delhi branch mae. For more details search my UA-cam channel new innovation.
Wats your site name i dont get it..
Not got, verna khaogae eyes ki chot. For more details search my UA-cam channel new innovation.
I thought we all could see pulse in that notch
he cute😚💖
Cute. Daryaganj Delhi branch sae ilaj kervaoge toh aankhein ho jaye mute. For more details search my UA-cam channel new innovation.
I didn’t know that Joel Fleischman is a real doctor
your pulses deficit is wrong... its difference in HR vs PR... what happened to carotid Ass kol taytion [Auscultation] :)))
Saygılar hocam :)
Respect mr erol :)
Cant hear anything if you keep talking....
this rocket league update is insane!
Need help
2:37
💜❤️💚
👏🏽👏🏽👏🏽
👍
Anyone else here for their own symptoms? Haha
dayumm, doc is hot
uh why is this guy hot af
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.
ANOTHER OVERSMART PERSON!EWWW!