I have watched almost all your videos and they are wonderful. The review questions are the best. No one shows you what to look for in questions and interprets them like you do. Thank you so very much for helping me graduate med school Thursday!!!!
This is an outstanding presentation. There is a minor correction Hoarseness due to Mitral stenosis called Ortner’s syndrome. Thank you for your hard work.
You explain very well. Please keep them coming. Your video has helped me understand this....I am a studying for my NP certification....Thank you so much
Thank you, very helpful review. I especially like the summary charts/tables you make at the end of most of your videos, they are extremely helpful in consolidating all the information.
very good lectures !!! THank you ! Shouldn't it be Reduction of afterload with mitral stenosis and reduction of preload with mitral regurgitation ? How impossible it would be to have the OB-GYN section ?? I have the exam very very soon ,and i would need a CRash review on them ... Really a very well done job! A very precious one! Again thank you
Hi. Thank you for your videos. They are all great!!! Just an FYI for you to change incase you use the same slides in other lectures...on your slide on AR, where you state the testing is echocardiogram, you state AS instead of AR.
Thanks. That's a good question. Hemoptysis can be associated with advanced valvular disease because valvular disease increases pulmonary venous pressure. I believe the histologic reason for the hemoptysis is because the elevated pulmonary pressure disrupts the rather delicate alveolar-capillary lining, allowing blood to enter the respiratory tract. The hemoptysis that you would see with valvular disorders (or congestive heart disease, for that matter) is classically described as red (bloody), "frothy" sputum. This, as opposed to coughing up frank blood, which is rather rare (think TB/infection, trauma). Hemoptysis has a huge differential, and any advanced valvular disease is a possible trigger. However, it's most prominent in mitral valve problems. The reason being mitral valve problems *directly* affects pulmonary venous pressure.
thank you Dr Bolin using your videos for step 3 you are the best Dr Bolin is it possible for you to do dermatology too no book is as great as your videos thank you asha
![[Limbus Company - PV] Chapter.7 - Oblivion](http://i.ytimg.com/vi/VUpkXPkvoxU/mqdefault.jpg)
I have watched almost all your videos and they are wonderful. The review questions are the best. No one shows you what to look for in questions and interprets them like you do. Thank you so very much for helping me graduate med school Thursday!!!!
This is an outstanding presentation. There is a minor correction Hoarseness due to Mitral stenosis called Ortner’s syndrome. Thank you for your hard work.
I'm truly thankful for stumbling upon your videos, they're so helpful. Thank you so much for all you've done.
Dr Paul you are the best.
God bless you, Dr. Paul!
You explain very well. Please keep them coming. Your video has helped me understand this....I am a studying for my NP certification....Thank you so much
Hi Paul,
Awesome video on Valvular disorders..I love it.I It's very well presented. My nursing students find it very educational. Thanks!
Great lectures..Less time consuming and more informative.
Update > for the mitral stenosis main cause is rheumatic fever and caused by a molecular mimicry not calcification
Thank you, very helpful review. I especially like the summary charts/tables you make at the end of most of your videos, they are extremely helpful in consolidating all the information.
You are the best teacher in this world❤
Im a nursing student and I found this extremely helpful. Thank you :)
thanks for a brilliant video - I watched your rheumatology series and it was excellent. This series is brilliant too.
I'd throw my underwear on stage if I was wearing any. strong work man.... appreciate your videos!!!
This was a hilarious comment lol
very good lectures !!! THank you ! Shouldn't it be Reduction of afterload with mitral stenosis and reduction of preload with mitral regurgitation ? How impossible it would be to have the OB-GYN section ?? I have the exam very very soon ,and i would need a CRash review on them ... Really a very well done job! A very precious one! Again thank you
Dr Paul I'm following your videos every day, you are awesome. I think It's ortner's syndrome, not ortman's sign. thanks again
Hi. Thank you for your videos. They are all great!!! Just an FYI for you to change incase you use the same slides in other lectures...on your slide on AR, where you state the testing is echocardiogram, you state AS instead of AR.
Sunday, October 2, 2022. Cardiology: Valvular Heart Diseases. MD Paul W. Bolin. Eccellentissimo!
Your videos are great, please keep posting. How does afterload reduction help MR?
Sorry I just rethought the mechanism! It is afterload in mitral regurgitation! mia culpa
How does valvular disease cause hemoptysis?
Thanks. That's a good question. Hemoptysis can be associated with advanced valvular disease because valvular disease increases pulmonary venous pressure. I believe the histologic reason for the hemoptysis is because the elevated pulmonary pressure disrupts the rather delicate alveolar-capillary lining, allowing blood to enter the respiratory tract. The hemoptysis that you would see with valvular disorders (or congestive heart disease, for that matter) is classically described as red (bloody), "frothy" sputum. This, as opposed to coughing up frank blood, which is rather rare (think TB/infection, trauma).
Hemoptysis has a huge differential, and any advanced valvular disease is a possible trigger. However, it's most prominent in mitral valve problems. The reason being mitral valve problems *directly* affects pulmonary venous pressure.
Isn't Aortic regurgitation sound is heard on the left sternal border ?
When u Will update this lecture I’m waiting 🥹🥹🚶🏻♀️
Very detailed. Thank you
amazing.Thank you
Thank you!
great.
thank you sir.
thank you Dr Bolin using your videos for step 3 you are the best
Dr Bolin is it possible for you to do dermatology too no book is as great as your videos thank you
asha
Excellents!