「 投稿者アーカイブ:Mr.Phonette 」 一覧

Daily quiz

  2025/10/16 

The theme for October 16 is “Trachealization of vesicular sounds in interstitial pneumonia.” Listen to the lung sounds at the lung bases on iPax and consider how fibrosis alters the transmission of sound. (October 16, 2025)

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Daily quiz

  2025/10/15 

The theme for October 15 is adventitious lung sounds heard on cervical auscultation. This quiz is designed to help you understand airway sound transmission and the concept of the high-cut (low-pass) filter of the lungs. (October 15, 2025)

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Daily quiz

  2025/10/14 

The quiz for October 14 features a case of accentuated 2A. Due to elevated aortic pressure from hypertension, the aortic component of the second heart sound (2A) is heard more prominently. (October 14, 2025)

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Daily quiz

  2025/10/13 

The theme for October 13 is “Right-sided Murmur Enhanced by Inspiration.” Compare the sounds at the cardiac apex and along the left sternal border, focusing on how they change with respiration before answering.

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Daily quiz

  2025/10/12 

The theme for October 12 is “Holosystolic Murmur Radiating to the Left Axilla.” Listen carefully to the murmur of mitral regurgitation (MR), which has its maximum intensity at the cardiac apex and radiates toward the left axilla.

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Daily quiz

  2025/10/11 

The theme for October 11 is “Widened Pulse Pressure.” This is a case with a blood pressure of 160/50 mmHg and a palpable bounding pulse. What kind of heart sound can be heard with iPax?

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Daily quiz

  2025/10/10 

On October 10, we present a quiz to distinguish between four types of adventitious lung sounds. Among them, three are coarse crackles heard in pneumonia, and one is fine crackles heard in idiopathic pulmonary fibrosis (IPF).

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Daily quiz

  2025/10/09 

The theme for October 9 is “Differentiating Fine Crackles from Pleural Friction Rubs.” Even if the sound resembles fine crackles, if it is heard symmetrically during both inspiration and expiration like a mirror image, it can be identified as a pleural friction rub. Let’s listen carefully and distinguish between the two sounds!

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Daily quiz

  2025/10/08 

On October 8, we present a case of a patient complaining, “I can’t breathe in—it’s hard to breathe.”Listen carefully to the expiratory duration and adventitious sounds, and try to make the correct diagnosis.

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Daily quiz

  2025/10/07 

On October 7, we present a case quiz on cardiac murmurs after aortic valve replacement (AVR). Let’s learn how to distinguish whether the murmur heard after bioprosthetic valve replacement is pathological or physiological.

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