Correction: 14:00 Aortic Regurgitation is heard best along the left sternal border, at the third and fourth intercostal space.

I'm studying for my PANCE and I absolutely love all of your videos!! One way that I was taught to remember where Mitral Regurg and Aortic Stenosis radiate to is: A man who picks up his child by the armpits (axilla) is a "Mister/Mr." versus a man who picks up his child by the neck (carotids) is an "ASs." I hope this can help someone else :)

Listened to your podcasts casually during PA school, and loving the KZread series now as I study for the PANCE!! You do an amazing job, truly, thank you.

MS PRARTS DIED saved my life!!! Thank you!!!

@cramthepance

2 жыл бұрын

No problem! Thank you!

@ianireland5425

2 жыл бұрын

MS PRARTS DIED so we can FLY!

@erikalittle418

6 ай бұрын

I am re-watching this video years later and I still remember MS PRATS … best teacher ever.

Thank you for your amazing, thorough and concise reviews! I'm on my first rotation and my daily commute is just under 2 hours. I've been using the time to listen to one of your review topics each day and it has been EXTREMELY helpful. Thanks for the taking the time to help us out, we appreciate you!

you are literally my hero and the reason I pass my EORs. thank you for all the time and effort you put into these videos and podcasts. I truly truly truly appreciate it

@cramthepance

2 жыл бұрын

Thank you so much!! It makes me so happy to hear the content is helping!

I used to use the mnemonic "S'ups and Downs" based on where you auscultate S'upS = Systolic murmur on "up" are Stenosis. So "up" meaning upper valves on ausucultation (aortic/pulmonary) DownS = Diastolic murmur in "down areas" are Stenosis. And "down" meaning lower valves on auscultation (Mitral/tricuspid) Hope this helps

These videos are what I look forward to in every block in didactic year! Thank you so much! A pneumonic for the valve locations I learned in PA school that I wanted to share- Apple PiE Tastes Mmm. Aortic, Pulmonic, Erb, Tricuspid, Mitral.

You make review so much easier! Im in Q5 taking our didactic summative evaluation and although its impossible to go over everything, your videos and podcast make everything so straightforward and highlight the big points to take home. Love it thanks so much!

@cramthepance

2 жыл бұрын

I'm so happy to hear the content is helpful! Thank you so much!!

Rest in Peace Ms. Prarts

Much love from a clinical year PA student! Love your content and all the mnemonics. Please keep them coming :)

@cramthepance

2 жыл бұрын

Thank you so much!

This is the video that actually helped me find you. Needed help with all the extra stuff from murmurs (causes, hoarseness, opening snaps, etc.). Thank you so much for this!

@cramthepance

2 жыл бұрын

No problem!!

every morning before i go to class i give thanks for my almighty savior scott shapiro

@cramthepance

Жыл бұрын

Thank you so much!

Dude, you are the real MVP!!! (get it? MVP... mitral valve prolapse... this video is about heart murmurs.... I'll show myself out)

@cramthepance

2 жыл бұрын

😂😂😂 thank you!

Thank you for these videos man. Really appreciate it. Your videos are helping our cohort tremendously! Please keep em coming

@cramthepance

2 жыл бұрын

No problem! So happy to hear they are helping, thank you!

You have not clue how many videos I have watched to understand murmurs. This was incredible! Thanks!!!

@cramthepance

2 жыл бұрын

I'm so happy to hear it helped! Thank you so much!

LOVE LOVE LOVE the work you do! Also, thank you so much!! PA-S1 and you have helped me get through so much content with a better understanding!

@cramthepance

Жыл бұрын

Thank you!!!

To remember Müller sign I always think of the principal yelling "Bueller!!" (from Ferris Bueller's Day Off); never forgot about the uvula sign after that for aortic regurgitation.

Much appreciated!! To the point - great summary and excellent ways to remember 😊- we need a good comprehensive NEUROLOGY overview when you have time !!

@cramthepance

Жыл бұрын

Thank you! More neuro coming soon!!

If anyone else is horrible with remembering nmeumonics (like I am) I remember the diastolics based off of blood flow. So any murmur that has blood going into the ventricles will be diastolic! (pulm/aortic regurs has blood backflow into the vents, tricuspid/mitral stenosis has blood going into vents)

Thanks for the videos! I'm studying for my PANCE right now and find them very helpful.

@cramthepance

3 жыл бұрын

Thank you so much!

sooo helpful for studying for my EORs!! thank you so much!

@cramthepance

2 жыл бұрын

No problem!! Thank you and good luck on your EOR!

Thank you so much! I listened to this probably at least 3 times this week while I was either running or cooking, and then again sitting down and taking notes. Super helpful. My clin med exam was today and I made an A. MS OS for the win! Quincke in the Pinky as well.

@cramthepance

Жыл бұрын

Thank you so much and congrats!

Really appreciate all of your content. You are helping me understand cardiology BIG TIME.

@cramthepance

10 ай бұрын

Happy to help!

I'm currently in the 3rd semester of my didactic year and I could not survive without your videos! Thank you for posting such great, concise, information! You are amazing!

@cramthepance

10 ай бұрын

I’m so happy to hear the content helps! Thank you and good luck in school!!

This video is amazing thanks for the work that you do!

@cramthepance

2 жыл бұрын

No problem! Thank you!!

Just wanted to mention that my entire PA cohort listen to all your videos! Please continue! Would love something over arrhythmias too!

@cramthepance

Жыл бұрын

Definitely a topic I plan on covering very soon! Thank you so much!!

Hi! Thank you for your video. It would be great if you can add which maneuvers increase or decrease preload/afterload with some visuals. Such as handgrip, squatting, standing, leg raise. Sometimes I still get a little confused with this

Fantastic, and well-organized to make it easy to remember. Thank you!

@cramthepance

6 ай бұрын

Thank you so much!!

Thank you for much for this!!!! Great review!

@cramthepance

Жыл бұрын

Thank you!!!

Thanks for breaking this down and making this simple

@cramthepance

2 жыл бұрын

No problem! Thank you!

Thank you for all that you do! Lifesaver, - from a didactic year student

@cramthepance

2 жыл бұрын

No problem! Thank you!!

GREAT video!! THANKS SO MUCH!!

@cramthepance

11 ай бұрын

Thank you!!

Seriously THE best podcast/YT channel for PA students. Writing this comment because I'm just grateful for your help. So straight to the point and can always count on your good pneumonic and studying tips. Thanks for truly being the GOAT shapiro.

@cramthepance

Жыл бұрын

Thank you so much!!!

Video was so so helpful!!

@cramthepance

2 жыл бұрын

I’m so happy to hear that! Thank you so much!

Everything was covered and a legend was made

If I pass my IM EOR it will be because of you!

@cramthepance

Жыл бұрын

Thank you!!!

Hello my friend how r u doing. I have a question. At the beginning when talking about AR you mentioned the murmurs heard over the ursb and now in the PR is heard on the same spot. coud you clarify plz? Thanks in advance. (min31)

Great video, I love it not boring at all

@cramthepance

11 ай бұрын

Thank you!!

You are a king!

@cramthepance

Жыл бұрын

Thank you!

Great content!

@cramthepance

Жыл бұрын

Thank you!

hi! love your videos! quick question though- at 31:58, you say that PS murmur is best heard at the LeUSB but then you say that it is increased with inspiration. I thought that was only for right-sided murmurs? thank you!

@cramthepance

Жыл бұрын

So this is a right sided murmur because pulmonary stenosis is a problem with the pulmonary valve that controls blood from the right side of the heart. Don’t focus on where it’s best heard on the chest, that’s not related to which side of the heart it’s affecting. Let me know if that makes sense!

@JohanaCeja

Жыл бұрын

@@cramthepance I had the same question. So, in this case, wouldn't Tricuspid Regurgitation also have RINspiration? since it is affecting the Rt side of the heart? Also, I just want to thank you for making such AMAZING videos!

@cramthepance

Жыл бұрын

@@JohanaCeja Thank you! Yep, the murmur of Tricuspid regurgitation increases with inspiration due to increased venous return to the right side of the heart. I believe thats what was said in the video but let me know if not so I can edit it. Where the murmur is best heard though is the left lower sternal border. Rinspiration only refers to if the murmur gets louder with inspiration, not the location of where the murmur is heard. It can be a bit confusing, let me know if that makes sense.

@JohanaCeja

Жыл бұрын

@@cramthepance This makes sense. Thank you for clarifying. Yes, I just went back in the video, and you do mention that TR has RINspiration, I got confused because I didn't see it in the typed notes like you had in the other 3 (PR, PS, TS), but it is definitely mentioned. Thanks again. :)

love from india bro🇮🇳,your efforts are much appreciated❤

@cramthepance

10 ай бұрын

Thank you so much!!

excellent

@cramthepance

3 жыл бұрын

Thank you so much!

You're a legend

@cramthepance

2 жыл бұрын

Haha thank you!!

where's ASD and VSD?

@BrianaKozak

11 ай бұрын

On a different video about congenital heart disease

You are the Man! A bit confused with murmurs until this video!

@cramthepance

11 ай бұрын

Thank you!!

Rest in Peace Ms. Prarts