9. Reversed Paradoxical Split of the Second Sound - Heart Sounds Collection #CCU_SOUND Paradoxical Split S2 A paradoxical split S2 heart sound occurs when the splitting is heard during expiration and disappears during inspiration — opposite of the physiologic split S2. A paradoxical split S2 occurs in any setting that delays the closure of the aortic valve including severe aortic stenosis and hypertrophic obstructive cardiomyopathy, or in the presence of a left bundle branch block. CLINICAL PEAR

“Why does fixed splitting of S2 occur with ASD?” #mehlman_medical #usmle #usmlestep1 #usmlestep2 #medicalschool | Mehlman Medical

Struggling with TXV (Thermostatic Expansion Valve) diagnosis? This video dives into the essential techniques every HVAC technician needs to master for accurate system troubleshooting. Watch on YouTube or directly on the HVAC School website here: https://buff.ly/EszxdQy | HVAC School

A young man is struck by a violent, mysterious disease that leaves doctors baffled and causes unimaginable pain. After months of excruciating suffering, he is finally diagnosed with fatal thallium poisoning, leading investigators to uncover a terrifying truth: the poisoning was a slow, calculated act of murder perpetrated by someone close to him. From: Diagnosis: Unknown S2 Ep8 | Real Responders