Day of the Step 2CK Exam - Go!

 All the knowledge and the beauty of the universe is within me.

~ Me

Day 80 - Step 2CK Prep - 3

 There shall be eternal summer in the grateful heart.

~ Celia Thaxter

Day 79 - Step 2 CK Prep - 2

 Always listen to experts. They'll tell you what can't be done and why. Then do it.

~ Robert Heinlein

Day 78 - Step 2CK Prep - 1

 Treasure the love you receive above all. It will survive long after your good health has vanished.

~ Og Mandino

Day 77 - Step 2CK Prep - UWorld, NBME, Screenshots, Master the Board

 Everything is connected... no one thing can change by itself.

~ Paul Hawken

Day 76 - Step 2CK Prep - UWorld is Mine

 The minute you settle for less than you deserve, you get even less than you settled for.

~ Maureen Dowd

Day 75 - Step 2CK Prep - UWorld Review

 I just never let anything bother me, man. I know myself really well. Nobody's opinion of me can shake my opinion of myself.

~ Ruben Studdard

Day 74 - Step 2CK Prep - UWorld Review

Educate your children to self-control, to the habit of holding passion and prejudice and evil tendencies subject to an upright and reasoning will, and you have done much to abolish misery from their future and crimes from society.

~ Benjamin Franklin

Day 73 - Step 2 CK Prep - UWorld GI 2 Review

 A man can stand anything except a succession of ordinary days.

~ Johann Wolfgang von Goethe

Day 72 - Step 2CK Prep - UWorld GI 1 Review

 Adversity causes some men to break; others to break records.

~ William Arthur Ward

Day 71 - Step 2CK Prep - Cardiology 5 to Pulmonary 1

 Those who can laugh without cause have either found the true meaning of happiness or have gone stark raving mad.

~ Norm Papernick

Day 70 - Step 2CK Prep - Cardiology 4

 Few things are impossible to diligence and skill. Great works are performed not by strength, but perseverance.

~ Samuel Johnson

Day 69 - Step 2CK Prep - Cardiology 3

We are what we repeatedly do. Excellence then, is not an act, but a habit.

~ Aristotle

S4 - an atrial gallop - produced by an atrial contraction pushing blood into a stiff non-compliant left ventricle - sign of concentric LV hypertrophic i.e. 2° to HTN, restrictive cardiomyopathy, acute MI.

https://www.easyauscultation.com/cases/35/fourth-heart-sound-gallop 

Day 68 - Step 2CK Prep - Cardiology 2

 Nothing astonishes men so much as common sense and plain dealing.

~ Ralph Waldo Emerson

Enjoy studying the common sense Cardio!

S3 - a ventricular gallop - produced by a blood flowing into an overly compliant left ventricle - "water rushing into a large reservoir" - dilated ventricle - one of the signs of CHF, HFrEF, MR, AR, high output states (thyrotoxicosis).

https://www.easyauscultation.com/cases/37/third-heart-sound-gallop