Your next patient is a 46-year -old woman recently diagnosed…

Your next patient is a 46-year -old woman recently diagnosed with congestive heart failure.  You hear a S3 during your cardiac exam.  A S3 is a short and low pitched sound that is best heard with the bell of the stethoscope at the apex of the heart.  A S3 is created by:

It is important to assess cognitive function to identify mil…

It is important to assess cognitive function to identify mild cognitive impairment that may indicate the onset of dementia or cognitive changes associated with normal aging. The Mini Mental State Exam (MMSE) is a standard screening tool that is used often with older patients to