「 月別アーカイブ:2025年11月 」 一覧

Daily quiz

  2025/11/12 

On November 12, the case features croup, characterized by a barking cough resembling a dog’s bark and a high-pitched inspiratory wheeze (stridor). You will listen to the respiratory sounds caused by upper airway obstruction and answer the quiz. (November 12, 2025)

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Daily quiz

  2025/11/11 

On November 11, the case features a patient with dyspnea on exertion and easy fatigability. A high-pitched holosystolic murmur is heard throughout systole at the cardiac apex, and the murmur radiates toward the left axilla. (November 11, 2025)

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Daily quiz

  2025/11/10 

On November 10, the quiz focuses on the water-flow–like murmur heard in early diastole. We will learn about the typical heart murmur of aortic regurgitation (AR), including the auscultation site at Erb’s area and how the murmur changes when the patient leans forward in a sitting position. (November 10, 2025)

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Daily quiz

  2025/11/09 

On November 9, the case featured a 65-year-old man with exertional dyspnea. A systolic murmur with its point of maximum intensity at the second intercostal space along the right sternal border was heard, and the murmur radiated to the neck. (November 9, 2025)

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Daily quiz

  2025/11/08 

On November 8, we will compare ejection systolic murmurs and holosystolic murmurs.The key point for distinguishing them is whether the murmur begins and ends separated from S1 or S2, or whether it is directly connected to them. (November 8, 2025)

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Daily quiz

  2025/11/07 

On November 7, we will have a quiz on lung sounds heard in patients with COPD. You will practice distinguishing wheezes from the other three types of adventitious lung sounds. (November 7, 2025)

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Daily quiz

  2025/11/06 

On November 6, we will study a case of a patient with systemic sclerosis. In this case, the heart sounds reveal accentuation of the pulmonic component of the second heart sound (P₂) due to pulmonary hypertension. (November 6, 2025)

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Daily quiz

  2025/11/05 

On November 5, auscultate the lung sounds of a patient with left bronchial obstruction. Use iPax to auscultate and compare the bronchial breath sounds on the left and right sides. (November 5, 2025)

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Daily quiz

  2025/11/04 

On November 4, we will study the mechanism of fixed splitting of S2 heard in atrial septal defect (ASD). Think about how venous return changes with respiration, and try to answer the quiz. (November 4, 2025)

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Daily quiz

  2025/11/03 

On November 3, we will learn about respiratory splitting of the second heart sound (S2). Listen carefully with iPax to how S2 splits during inspiration at the second intercostal space along the left sternal borde. (November 3, 2025)

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