Valvular Heart Disease (old version, with sound) - CRASH! Medical Review Series
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- čas přidán 25. 07. 2024
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Valvular heart disease is very nuanced and highly-tested, so this is a rather in depth survey. For a bare bones review, skip to the last 5 minutes or so.
REVISION: At 5:44, on the overview, to clarify, A-fib, CHF sx and angina can happen in any of the valve diseases. They're not as distinct to the valve diseases they're listed under as the other symptoms (i.e., paradoxical S2 split in aortic stenosis, Austin-Flint murmur in aortic regurgitation). However, A-fib, CHF sx, and angina are more prevalent in those particular valve diseases they're listed under than the others.
(Disclaimer: The medical information contained herein is intended for physician medical licensing exam review purposes only, and are not intended for diagnosis of any illness. If you think you may be suffering from any medical condition, you should consult your physician or seek immediate medical attention.)
I have watched almost all your videos and they are wonderful. The review questions are the best. No one shows you what to look for in questions and interprets them like you do. Thank you so very much for helping me graduate med school Thursday!!!!
I'm truly thankful for stumbling upon your videos, they're so helpful. Thank you so much for all you've done.
Thank you, very helpful review. I especially like the summary charts/tables you make at the end of most of your videos, they are extremely helpful in consolidating all the information.
thanks for a brilliant video - I watched your rheumatology series and it was excellent. This series is brilliant too.
You explain very well. Please keep them coming. Your video has helped me understand this....I am a studying for my NP certification....Thank you so much
God bless you, Dr. Paul!
Hi Paul,
Awesome video on Valvular disorders..I love it.I It's very well presented. My nursing students find it very educational. Thanks!
Great lectures..Less time consuming and more informative.
Dr Paul you are the best.
This is an outstanding presentation. There is a minor correction Hoarseness due to Mitral stenosis called Ortner’s syndrome. Thank you for your hard work.
Your videos are great, please keep posting. How does afterload reduction help MR?
Hi. Thank you for your videos. They are all great!!! Just an FYI for you to change incase you use the same slides in other lectures...on your slide on AR, where you state the testing is echocardiogram, you state AS instead of AR.
You are the best teacher in this world❤
Very detailed. Thank you
I'd throw my underwear on stage if I was wearing any. strong work man.... appreciate your videos!!!
This was a hilarious comment lol
very good lectures !!! THank you ! Shouldn't it be Reduction of afterload with mitral stenosis and reduction of preload with mitral regurgitation ? How impossible it would be to have the OB-GYN section ?? I have the exam very very soon ,and i would need a CRash review on them ... Really a very well done job! A very precious one! Again thank you
Update > for the mitral stenosis main cause is rheumatic fever and caused by a molecular mimicry not calcification
Sunday, October 2, 2022. Cardiology: Valvular Heart Diseases. MD Paul W. Bolin. Eccellentissimo!
great.
thank you sir.
Thank you!
amazing.Thank you
Isn't Aortic regurgitation sound is heard on the left sternal border ?
Im a nursing student and I found this extremely helpful. Thank you :)
When u Will update this lecture I’m waiting 🥹🥹🚶🏻♀️
Dr Paul I'm following your videos every day, you are awesome. I think It's ortner's syndrome, not ortman's sign. thanks again
Excellents!
Sorry I just rethought the mechanism! It is afterload in mitral regurgitation! mia culpa
thank you Dr Bolin using your videos for step 3 you are the best
Dr Bolin is it possible for you to do dermatology too no book is as great as your videos thank you
asha
How does valvular disease cause hemoptysis?
Thanks. That's a good question. Hemoptysis can be associated with advanced valvular disease because valvular disease increases pulmonary venous pressure. I believe the histologic reason for the hemoptysis is because the elevated pulmonary pressure disrupts the rather delicate alveolar-capillary lining, allowing blood to enter the respiratory tract. The hemoptysis that you would see with valvular disorders (or congestive heart disease, for that matter) is classically described as red (bloody), "frothy" sputum. This, as opposed to coughing up frank blood, which is rather rare (think TB/infection, trauma).
Hemoptysis has a huge differential, and any advanced valvular disease is a possible trigger. However, it's most prominent in mitral valve problems. The reason being mitral valve problems *directly* affects pulmonary venous pressure.