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» Divine Intervention Podcasts

Divine Intervention Episode 496: Aortic regurgitation and some USMLE integrations

» Divine Intervention Podcasts

Divine-Favour Anene

Medicine, Education, Science & Medicine, Higher Education

4.9929 Ratings

🗓️ 12 December 2023

⏱️ 20 minutes

🧾️ Download transcript

Summary

Understanding the hemodynamic consequences and cardiovascular parameters in aortic regurgitation is a tough pill to swallow for many people. In this short podcast, I address this question and also make common NBME integrations with this topic (like cardiac output, pulse pressures, systemic pressures, renin-angiotensin-system, etc). I explain all the pathophysiology step by step so you … Continue reading Divine Intervention Episode 496: Aortic regurgitation and some USMLE integrations

Transcript

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0:00.0

Welcome, it's Divine. This is episode 496 of the Divine Intervention

0:06.2

podcast. And to this podcast I'm going to be addressing the topic that I like to

0:11.6

title,

0:13.0

the mystifying Eotic Grigurge.

0:16.0

De-Misdefying Eotic Grigurge.

0:19.0

This is something I know.

0:21.0

I feel like I've seen a lot of questions from people in recent times on Yotti Griggs and they just I mean people probably have it's not probably many people have memorized the findings, you know, that people that have Yolic

0:35.0

decrescendo memor,

0:40.0

that the left third intercostal space that near it eats to the left lower

0:45.2

strong border or blah blah blah blah blah. Fine. Many people know that of the

0:49.9

top of their heads but there are many findings in the yotic rigurge that I feel like for quite a number of people do not make much sense.

0:57.0

So every now and then I like to put out a podcast or two. On topics that I've noticed that men a lot of people seem to be having issues with

1:05.6

so that we can address them and you can fully understand it instead of just memorizing it. So I suspect this is something that anyone taking step one step to or step three is going to benefit from.

1:14.3

So what's the classic vignette for Yori Craiger?

1:18.3

Well, they'll give you a question about a person.

1:20.9

Typically, this person they will tell you that the person is having a shortness or

1:26.4

breath the person may have signs and symptoms of heart failure but the critical thing you're going to notice in the

1:33.9

huge stem is that the person's systemic blood pressure is going to be high and

1:38.4

the person's that has stomach blood pressure is going to be low. So whenever you see a person that has a blood pressure of like 140 over 50 for example, that's just a huge anomaly because if you think about it normally blood

1:54.7

pressures for the average man being in a normal range should be about 120 over

1:59.8

80 the difference between those two numbers the number of the top and the number of the bottom is what's called pulse pressure.

2:06.0

That range should be 40, but you see a person that has a blood pressure of like 1.30 over 40,

...

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