stJu noet hyw heort srnswea ear ont ccrr:teo

1. i&oEos;nhbnpypsg na cnresaedi ceesonran of vcieo oudsns redah hwne sacntuiultga het lgsnu, ftone esucda yb nulg aoinsloiondtc nda .srsfiboi

   • .a It si deu ot ehcdnean sntosriaimsn fo hfieurgqce-nhy nouds rscaso lfiu,d uhsc as ni nbalmora nugl esut,is itwh lorew ersnifequec ierdleft .uto

2. eWepsdrih ulbopeqsstn;oryecrf&pire to an crdeesian osesdnul ediprhonbn;&ntgop;nsiwefsspb& duirgn iltatcsouanu whti a sshtoeetcpo no teh ulgn sfelid on a itta’npse to.rso

   • .a yUsalul snoepk nsdsou fo bnpseavmuped&p;hiso&slnrbwe; yb eth ttnpaei udolw tno be eardh by het acninliic giausluctant a gnul filde tiwh a p.teshoecsto

   • b. eHvrw,eo ni esraa fo eht glun whree erhte s;nsn&iglubp aoonnsdoiil,tc htese pwidsrehe senkop snodus by eth tanipte shc(u sa nayisg nn’eti)-eiynn‘ lwli be leylacr dhera ugthorh hte .poshtseoect

   • .c Tshi incersae ni snoud sestix ecabeus odusn rstvale sfrate dna uths iwth rewlo osls of iiteynsnt rtoghhu iulqdi or oisdl df“(liu ”ssma ro d“islo ,”msas l,iyrtvpeesec in het lgn)u svrsue sugseoa (ira ni eht ul)gn aedim.

   • .d dreWieshp tceyrqouilpo si a nillicca ttes apylclyti pomrerefd dungir a ceialmd pshcilya enaiointxam to ulatveea rof teh npceesre &unbsgn;plof nosoanctdil,io ciwhh culdo be sceadu by ncrace (soild asm)s or uonnaempi (ilfdu as)ms.

S3--> dilated cardiomyopathy (eccentric)--> systolic failure--> blood builds up--> increase hydrostatic pressure in pulmonary vessels--> exudate--> crackles

2/6 systolic murmur over the left sternal border,an S3 (increased LV filling), low 02 sat, figured this patient had hypertrophic cardiomyopathy and early signs of CHF, so the answer was crackles from the pulmonary edema from fluid back up from the HF as brise pointed out below the 1st comment.

FA 2019 page 306, under "Heart failure"

"Clinical syndrome of cardiac pump dysfunction --> congestion and low perfusion. Symptoms include dyspnea, orthopnea, fatigue; signs include S3 heart sound, rales (aka crackles), jugular venous distention (JVD), pitting edema."

Yeah, I forgot that rales = crackles... why can't they just stick with ONE terminology... anyway. Hope this helps.

ekCcslra ehriet cnidisate onrcchi orcbnshtii or oaosnlionidtc (mfor oiauenpmn ro nlprumoya dmee.)a

eviGn hatt hster'e ylno a 1 ayd yortihs of B,SO 'mI lnnagie reom toawdsr broal en.uomapin eaybM 'astth loas s'ahwt gnciaus teh S3 at teh LS?BL If sti' athSp se,Auur I ssueg ew coldu be likogon ta cuaet soraeitidcdn + m?napinuoe Or Q Fve?re utB ha'stt ujts elcuo.aisptn Culod sola tujs be atth het ugnl oolinsdaoctin si ieglnrat odlbo fol,w dieagln to teh kcba up nito eht hgiRt tmriAu &pma; iernVce.tl