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André Martin Mansoor

@AndreMansoor • 59,892 subscribers

Clinician. Author of #FrameworksForInternalMedicine. Cofounder https://t.co/iXxv1ZNGbj. https://t.co/1javJYYL59

Shorts

1/ A middle-aged man presents with acute sudden-onset dyspnea and hypotension. He is sitting upright. What do you notice? Let’s see if we can figure out the cause of hypotension.

1/ A middle-aged man presents with acute sudden-onset dyspnea and hypotension. He is sitting upright. What do you notice? Let’s see if we can figure out the cause of hypotension.

287,332 görüntüleme

1/14 I just finished 2 weeks of work in the hospital. Here’s a glimpse of what I saw. The kind of things that remind you why medicine is so good. First up: An S4 gallop you could not only hear… but see.

1/14 I just finished 2 weeks of work in the hospital. Here’s a glimpse of what I saw. The kind of things that remind you why medicine is so good. First up: An S4 gallop you could not only hear… but see.

70,514 görüntüleme

1/11 A man presents to you with the clinical syndrome of heart failure (weight gain, orthopnea, elevated JVP, etc.). BP is 144/48 mm Hg. Wide pulse pressure suggests aortic regurgitation (like our case last week). So you look for other physical findings. What do you notice?

1/11 A man presents to you with the clinical syndrome of heart failure (weight gain, orthopnea, elevated JVP, etc.). BP is 144/48 mm Hg. Wide pulse pressure suggests aortic regurgitation (like our case last week). So you look for other physical findings. What do you notice?

306,138 görüntüleme

1/12 Previously healthy 18 M presents with polyuria, polydipsia, abdominal pain, and intense vomiting. RR is 28 breaths per minute. ABG: pH is 7.29, PaCO2 is 26 mm Hg, HCO3− is 12. What acid/base disturbance(s) is present and what is the underlying cause?

1/12 Previously healthy 18 M presents with polyuria, polydipsia, abdominal pain, and intense vomiting. RR is 28 breaths per minute. ABG: pH is 7.29, PaCO2 is 26 mm Hg, HCO3− is 12. What acid/base disturbance(s) is present and what is the underlying cause?

117,506 görüntüleme

What's the finding? What's the diagnosis?

What's the finding? What's the diagnosis?

64,278 görüntüleme

Normal jugular venous pulse at half speed.

Normal jugular venous pulse at half speed.

173,361 görüntüleme

1/7 Have you ever made a cardiac diagnosis while standing behind a patient's head? What do you notice?

1/7 Have you ever made a cardiac diagnosis while standing behind a patient's head? What do you notice?

141,888 görüntüleme

How do you differentiate arterial from venous pulses in the neck? 👀 A quick bedside observation makes it clear. 🩺 I’m teaching a 3-day live virtual cardiac exam course (Dec 2–4). 🌍 Open to anyone, anywhere 🔗 🔗

How do you differentiate arterial from venous pulses in the neck? 👀 A quick bedside observation makes it clear. 🩺 I’m teaching a 3-day live virtual cardiac exam course (Dec 2–4). 🌍 Open to anyone, anywhere 🔗 🔗

22,307 görüntüleme

Arterial vs venous pulse, an easy bedside distinction: 🩸 Arterial pulse: outward expansion (pressure wave from the heart) 🫀 Venous pulse: inward movement (right atrial pressure changes) Watch both pulses side-by-side in the same neck. 🎥👇

Arterial vs venous pulse, an easy bedside distinction: 🩸 Arterial pulse: outward expansion (pressure wave from the heart) 🫀 Venous pulse: inward movement (right atrial pressure changes) Watch both pulses side-by-side in the same neck. 🎥👇

22,138 görüntüleme

1/11 A 43 y/o M presents for evaluation of chronic diarrhea. We walk into the room to meet him. We have an opportunity to make an “augenblick” diagnosis – one that can be made in the blink of an eye.

1/11 A 43 y/o M presents for evaluation of chronic diarrhea. We walk into the room to meet him. We have an opportunity to make an “augenblick” diagnosis – one that can be made in the blink of an eye.

32,570 görüntüleme

1/12 A 50 y/o M presented with L hemiplegia, facial droop, and right gaze preference. So why are we looking at his chest?

1/12 A 50 y/o M presented with L hemiplegia, facial droop, and right gaze preference. So why are we looking at his chest?

22,217 görüntüleme

Videos

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Cheyne-Stokes respirations. Commonly taught, rarely seen clearly at the bedside. Full video in reply.

Cheyne-Stokes respirations. Commonly taught, rarely seen clearly at the bedside. Full video in reply.

André Martin Mansoor

119,084 görüntüleme • 3 ay önce

Scratch test for organomegaly. First do a "control". Won't hear scratching until very close to scope. Next put scope over organ (eg, spleen). Now you'll hear scratching when you reach edge of the organ (much farther from scope vs control). The organ "carries" the sound to scope.

Scratch test for organomegaly. First do a "control". Won't hear scratching until very close to scope. Next put scope over organ (eg, spleen). Now you'll hear scratching when you reach edge of the organ (much farther from scope vs control). The organ "carries" the sound to scope.

André Martin Mansoor

984,923 görüntüleme • 3 yıl önce

Only 4 mechanisms cause hypotension — and you can often tell which one it is at the bedside. A practical framework for shock. Watch full video here:

Only 4 mechanisms cause hypotension — and you can often tell which one it is at the bedside. A practical framework for shock. Watch full video here:

André Martin Mansoor

71,836 görüntüleme • 4 ay önce

A man with extensive smoking history presents with dyspnea, cough, and upper extremity edema. What sign is this? What is the most likely diagnosis?

A man with extensive smoking history presents with dyspnea, cough, and upper extremity edema. What sign is this? What is the most likely diagnosis?

André Martin Mansoor

300,004 görüntüleme • 2 yıl önce

Weakness doesn’t require memorizing endless diagnoses. Start by asking where the problem lives: UMN. LMN. NMJ. Muscle. A practical bedside framework 👇

Weakness doesn’t require memorizing endless diagnoses. Start by asking where the problem lives: UMN. LMN. NMJ. Muscle. A practical bedside framework 👇

André Martin Mansoor

32,062 görüntüleme • 3 ay önce

How do you tell if the PMI is displaced — and what does it mean when it is? 🫀 I’m teaching a 3-day live virtual course (Dec 2–4) on mastering the cardiac physical exam. 🌍 Open to anyone, anywhere. 🔗 Schedule: 🔗 Register:

How do you tell if the PMI is displaced — and what does it mean when it is? 🫀 I’m teaching a 3-day live virtual course (Dec 2–4) on mastering the cardiac physical exam. 🌍 Open to anyone, anywhere. 🔗 Schedule: 🔗 Register:

André Martin Mansoor

48,828 görüntüleme • 7 ay önce

Can you recognize an S3 or S4 gallop at the bedside? New 60-minute video featuring real human gallop rhythms for auscultation training and pattern recognition. Perfect for background listening while studying or working. 🎧 Watch here:

Can you recognize an S3 or S4 gallop at the bedside? New 60-minute video featuring real human gallop rhythms for auscultation training and pattern recognition. Perfect for background listening while studying or working. 🎧 Watch here:

André Martin Mansoor

21,690 görüntüleme • 2 ay önce

Most clinicians struggle with auscultation because they haven’t heard normal enough times. This is what normal heart sounds actually sound like. 60 minutes of real, unedited human heart sounds:

Most clinicians struggle with auscultation because they haven’t heard normal enough times. This is what normal heart sounds actually sound like. 60 minutes of real, unedited human heart sounds:

André Martin Mansoor

16,190 görüntüleme • 3 ay önce

Nystagmus is key in the evaluation of vertigo. Direction is named after the direction of the fast phase from the perspective of the patient. Bidirectional nystagmus, depicted below, changes direction with opposing gaze positions, and is a sign of a central cause of vertigo.

Nystagmus is key in the evaluation of vertigo. Direction is named after the direction of the fast phase from the perspective of the patient. Bidirectional nystagmus, depicted below, changes direction with opposing gaze positions, and is a sign of a central cause of vertigo.

André Martin Mansoor

53,447 görüntüleme • 1 yıl önce

Shifting dullness to detect ascites: (sound up)

Shifting dullness to detect ascites: (sound up)

André Martin Mansoor

34,170 görüntüleme • 1 yıl önce

Sometimes you can immediately discern elevated central venous pressure when you walk into a room and observe a certain fullness to the forehead veins. Watch what happens when this patient is reclined.

Sometimes you can immediately discern elevated central venous pressure when you walk into a room and observe a certain fullness to the forehead veins. Watch what happens when this patient is reclined.

André Martin Mansoor

20,538 görüntüleme • 1 yıl önce

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