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Best medical books usmle step 2 exam, First aid for the usmle step 2 cs [fifth edition]: the bestselling usmle step 2 cs review book–now completely updated to reflect the latest exam format!. How program directors screen candidates interview, The 2012 nrmp program director survey was sent out to program directors of all programs that participated in the 2012 main residency match. One thing to note about aortic stenosis is that the left ventricle is gonna have a much higher pressure than Aorta is going to, the reason for this is that the left ventricle must work much harder in order to get the volume out against the stenosed Aortic valve. What is the mnemonic that helps you remember the infantile type of coarctation of the aorta? What are some of the condition which would result from adult type coarctation of the aorta?  In adult type coarctation of the aorta, it will lead to notching of the ribs, and this happens due to the collateral circulation. Adult type coarctation of the aorta is most commonly associated with what type of valve condition?
Cardiac Tamponade is a condition where the heart is compressed by fluid that collects around the heart, and this can happen by blood or even effusion. Some of the findings include: Hypotention, increase in the venous pressure that leads to jugular venous distention, there’s also a distant heart sound that can be heard, increase in the heart rate and pulsus paradoxus.


Pulsus Paradoxus is a decrease in the amplitude of Systolic pressure by greater than or equal to 10 mmhg during inspiration. Aortic stenosis causes a Crecendo-Decrecendo Systolic ejection murmur that happens after an ejection click. Pulsus Pravus et Tardus means that pulse is weak with delayed peak, this happens in Aortic stenosis. Aortic stenosis can happens due to age related calcifications that happen at the aortic valve, or bicuspid Aortic valve can lead to Aortic stenosis. The infantile type is when the Aortic stenosis happens proximal to the insertion of the ductus artriosus, so this happens “preductally” and it is known as the infantile. It’ll also lead to hypertension of the upper extremities and weak pulses in the lower extremities compared to the upper ones. Adult has the letter (d) in it, and in adult type, coarctation occurs distal to the ductus.
Adult type coarctation of the aorta is most commonly associated with bicuspid Aortic vavle.


And because the fluid is in the pericardium, it will cause the compression of the heart, and this leads to decreased cardiac output, which happens due to the compression on the heart not allowing the heart to pump out sufficient blood.
The reson for this is that the ventricles of the heart are working hard and there’s much higher pressure there, so the heart beats are much loud. So basically it’s loud-to-soft sound, and this happens in the fashion that it’s first increasing followed by a decrease in the intensity. But then when you feel the pulse there it feels weak because there’s not that much blood that’s going through the Aorta.




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