ICDs and Biventricular Pacemakers @StrongMed

Uploaded July 2020 | Updated September 2026, 1 week ago

A brief discussion of the indications and function of implantable cardioverter defibrillators and biventricular pacemakers, along with the effect of magnets on them.

Acute Hypertension (Rapid Response Calls)

Clinical Vignettes on Hemostasis (Less Common Scenarios) - Hemostasis: Lesson 14

EAP Notes & Presentations (Alternative to SOAP)

$The Pulmonary Exam / Lung Sounds (Strong Exam) A deep dive on the core pulmonary exam - the exam of the lungs that one would perform on a new primary care patient, or on a patient being admitted to the hospital for an issue not directly related to the lungs. I discuss abnormal respiratory patterns, signs of respiratory distress, barrel chest, clubbing, and of course, lung auscultation (e.g. crackles, wheezes, rhonchi, etc...) @0:00 Introduction @1:40 Inspection of the respiratory pattern @5:31 Remainder of inspection (e.g. resp. distress, barrel chest, clubbing) @12:27 Review of lung anatomy for auscultation @13:57 Demonstration of lung auscultation @17:30 Lung Auscultation - breath sounds @19:25 Lung Auscultation - adventitious sounds (e.g. crackles, wheezing) @27:34 Concluding clinical pearls & documentation of the lung exam References: McGee S. Evidence Based Physical Diagnosis. 5th Ed. Elsevier; 2021. Hooker EA, O’Brien DJ, Danzl DF, Barefoot JAC, Brown JE. Respiratory rates in emergency department patients. J Emerg Med. 1989;7:129–132. McFadden JP, Price RC, Eastwood HD, Briggs RS. Raised respiratory rate in elderly patients: a valuable physical sign. Br Med J. 1982;284:626–627. McGee SR. Cheyne-Stokes breathing and reduced ejection fraction. Am J Med. 2013;126:536–540. de Mattos WL, Signori LGH, Borges FK, Bergamin JA, Machado V. Accuracy of clinical examination findings in the diagnosis of COPD. J Bras Pneumol. 2009;35:404–408. Pierce JA, Ebert RV. The barrel deformity of the chest, the senile lung and obstructive pulmonary emphysema. Am J Med. 1958;25:13–22. Golub RM. Validity and Reliability of the Schamroth Sign for the Diagnosis of Clubbing. JAMA. 2010;304:159-161. Holleman DR, Simel DL. Does the Clinical Examination Predict Airflow Limitation? JAMA. 1995;273:313-319. Piinla P, Sovijarvi ARA. Crackles: recording, analysis and clinical significance. Eur Respir J. 1995;8:2139-2148. Wang CS, et al. Does This Dyspneic Patient in the Emergency Department Have Congestive Heart Failure? JAMA. 2005; 294:1944-1956. #physicalexam #respiratory #OSCE$

How To Speak Doctor (What to say and not say in the exam room)

Hemophagocytic Lymphohistiocytosis (HLH)

Clinical Vignettes on Hemostasis (Common Scenarios) - Hemostasis: Lesson 13

General Physical Exam Practices (Strong Exam)

Med School Doesnt Focus on the Most Important Thing