TSR Med Students' Society Part III

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I have quite a bit of Savings in my ISA & savings account, so they said I can't have a bigger overdraft until I spend that! They don't understand that I am saving it for something important in the future.

However my friend went in at the same time as me, they refused her an overdraft altogether until she said that she was a Medical Student, when the guy instantly decided to give her one after all.

Med Students are obviously too cool for Barclays :cool:

Put the savings in another account in another bank? A non-student account, as I think you're only allowed one student account.

Reply 7221

Renal

Original post by Princess Bubbles

Been doing cardiovascular examinations today. >D I found it very interesting although I found it hard to identify the different murmurs!

"HS I+II+?Murmor"
"PLAN: Medics. ECHO."

Reply 7222

Princess Bubbles

Original post by Kinkerz

People generally find that difficult in my experience!

TBH I didn't think I would be able to distinguish and identify murmurs the first time I listened to them. I was mainly focusing on getting the basics of the cardio exam in my head.

Original post by Renal

"HS I+II+?Murmor"
"PLAN: Medics. ECHO."

We had the echo guy give us a talk and he basically said this. He said that previously clinicians were able to diagnose from listening to murmurs using stethoscopes but nowadays all the junior doctors do echos to make sure!

Reply 7223

Beska

Original post by Princess Bubbles

Been doing cardiovascular examinations today. >D I found it very interesting although I found it hard to identify the different murmurs!

Our pre-clins are "normal structure and function" i.e. "put your stethoscope in spot x,y,z and pretend to listen". :biggrin:

Reply 7224

clarusblue

Original post by Princess Bubbles

Been doing cardiovascular examinations today. >D I found it very interesting although I found it hard to identify the different murmurs!

If you have an iPhone there's a cool app from Littmann called Soundbuilder which I reckon is good, it has a selection of murmurs on there and it has a recording of what it will sound like, where you will hear it and patient position, and an animation of what is happening

There's probably an android or blackberry version as well, or you might be able to find it online

Original post by Renal

"HS I+II+?Murmor"
"PLAN: Medics. ECHO."

stupid question but can anyone explain what the terminology for writing up a cardiovascular exam is in terms of that "HS I..." stuff? Probably very basic but it's one of those things you don't know until someone explains...

Reply 7225

Wangers

If you see a case that is very rare and well fascinating, is it odd to get excited - on a scale of rareities say a couple in a career at tertiary referral level when the patient is deeply in the **** from their condition? I feel odd...

/ 'reflection :tongue:

Reply 7226

Helenia

Original post by Wangers

Not odd at all, as long as you are also suitably empathetic. I've had one or two of those myself recently (case report time!) You're not on placement at RFH at the moment are you?

Reply 7227

Skwee

Original post by clarusblue

HS - heart sounds. :smile:

Original post by Princess Bubbles

Been doing cardiovascular examinations today. >D I found it very interesting although I found it hard to identify the different murmurs!

It gets easy (/easier?) after...a couple of years? *lol*

Reply 7228

clarusblue

Original post by Skwee

HS - heart sounds. :smile:

So in notes how would you write that they were all normal? And if there was a murmur for example? Thanks

Reply 7229

Skwee

Original post by clarusblue

So in notes how would you write that they were all normal? And if there was a murmur for example? Thanks

Well I suppose different people do it differently, so I can only speak for how I was taught to do it :P personally in a normal patient I go with something like "HS I + II, rhythmic and regular, no murmurs or extra HS".

If there's a murmur I classify it in terms of whether it's systolic or diastolic (more rare), location where it's best heard, shape, whether it radiates anywhere, and intensity.

(edited 12 years ago)

Reply 7230

clarusblue

Original post by Skwee

Useful, thankyou!

Reply 7231

Lantana

Original post by Princess Bubbles

Been doing cardiovascular examinations today. >D I found it very interesting although I found it hard to identify the different murmurs!

I find hard to hear some of the murmurs, Me: uh yes I can hear that mitral regurgatation... My head:.. that really faint sound that might just be me moving the stethoscope around

Original post by planetconwy1

This is why my elective fund and my student account are at two different banks :yes:

Original post by Beska

Our pre-clins are "normal structure and function" i.e. "put your stethoscope in spot x,y,z and pretend to listen". :biggrin:

Unfortunately when it comes to 3rd year :sigh:

Reply 7232

Beska

Original post by Lantana

Unfortunately when it comes to 3rd year :sigh:

Let's see if I get past january exams first! :biggrin:

Reply 7233

Princess Bubbles

Original post by Beska

Our pre-clins are "normal structure and function" i.e. "put your stethoscope in spot x,y,z and pretend to listen". :biggrin:

I'm sure you will learn soon enough!

Original post by Skwee

It gets easy (/easier?) after...a couple of years? *lol*

I hope so! :smile:

Original post by Lantana

I find hard to hear some of the murmurs, Me: uh yes I can hear that mitral regurgatation... My head:.. that really faint sound that might just be me moving the stethoscope around

This is exactly what I'm like!

Original post by clarusblue

Thanks for the tip. I have an android phone. looked for the app but don't think they have it on android yet but will keep my eyes peeled! :smile:

(edited 12 years ago)

Reply 7234

Supermassive_muse_fan

Original post by Princess Bubbles

Yes that sounds good. I think we use the carotid to get the timings of cardiac cycle. I think it is because this was the first time actually doing it so it was a bit strange!

You're much further ahead than I was at your stage! (only started using pulse same time in second year - didnt realise this was your first time!) I'm sure you'll pick it up just fine :smile:

as you do more examinations!

My BSc supervisor works with a paed cardiologist, wonder if I can score some clinic time...

Also has anyone used the free CD of heart sounds that you get with the littman steth? Had it for three years now and it's still somewhere on my bookshelf

Reply 7235

GodspeedGehenna

Original post by Supermassive_muse_fan

I find it helps to feel radial pulse (or any other) at the same time to confirm if murmur is early/pan/late diastolic/systolic and can then use that to work out dysfunction.

This is pretty much what we've been taught but with carotid.

(edited 12 years ago)

Reply 7236

SMed

Full day of endocrinology symposium tomorrow. (doing endo BSc)

:yawn:

And I'm marking posters.

:yawn:

Reply 7237

lekky

I can't hear anything at all through my stethoscope.. need to buy one of those amplifier ones for people with rubbish hearing! am waiting to see whether i can get help via disability funding first though as they're really expensive.

Reply 7238

Renal

Original post by Skwee

That's really good and admirably thorough.

I give it until your second take. :colone:

Reply 7239

mrs_bellamy

Original post by Wangers

I have had a couple like this recently. Two guys with the same 'once in a specialists career' disease in beds next to each other! Both really lovely and not very well, so I also felt guilty for feeling almost excited. It's a tough one, but I guess it's natural. Have also got very excited by some of the amazing signs I've seen while I've been in oncology and palliative care, even though most of those signs are so good because the patients are really sick. (Not sure the signs are anything special to anyone else, but they are exciting for the 4th year medical student. :tongue:

)