S2 Splits - Fixed, Wide & Paradoxical

[abual2nse]

i cant hear the splitting

[sureshsnmc]

boss tussi great hooo

[glasszone33]

please put a graphical representation of the sound which are marked

[natasha123443]

the quality is poor, i am having hard time hearing it ;-(

[petenkofer]

Wow... Dr parth ! ur work is really appreciable...im a medical student..but i have learned so much from ur videos for which a person needs to spend whole life in the hospitals,listening each and every patient.. I am really really grateful to you.May God bless u

[Scarleth02]

This is how you disthinghuish them:

The S2 split is best heard with the DIAPHRAGM SIDE of the stethoscope, and the S3 is best heard with the BELL SIDE of the stethoscope and in the apex of the heart...

[tjttzcspplt]

My 17-year old, healthy son has this S2 split. Isn't that somewhat normal? 

[batgirlspineapples16]

@tjttzcspplt Splitting of the second heart sound is normal during inspiration only

[tjttzcspplt]

@batgirlspineapples16 Thanks, my teacher thinks it may be a murmur.

[dungboy0]

I'm a little confused though - is S1 audible on this clip or is this S2 only?

[Angryconsumernerd]

What does it mean when you have the fixed split that is the exact sound my heart makes and I have some health issues right now ....but ive had every heart test they can do like 6 months ago and they said I was fin ..its fustrating I cant find anything other then technical information about the fixed split thing .

[cadavercat666]

@Angryconsumernerd im exactly the same dude! if you find out let me know!

[ssathi12]

all these are amazing and so helpful! thank you so much! =)

[6812pink]

hi dr parth! how can you tell if it's the splitting of the s2 or midsystolic that you are hearing? tnx so much

[pkeetingphd]

@6812pink I believe asking the px to inspire and hold their breath will widen an s2 split and may help differentiate.

[lionking091020001]

really it is difficult for a resident to diagnose all these stuffs

[joshhopp]

not if they are competent

[maesis17]

exelent!! thanks!!

[secondcity11]

i've been told i have splitting heart sounds, what does this mean?.

[streitaxtwerfer]

Ich hör gar nix du blöder Arschkriecher!!!

[myrceea89]

this guy dr parth s solanki is simply THE NICEST GUY IN THE UNIVERSE for uploading these series and young doctors ans students worldwide are grateful. THANK YOU !!!

[25aL]

@myrceea89 thank god for youtube, and for Dr Solanki, I´m TOTALLY agree with u...

[vodiklis]

do u have LBBB?

[athanu123]

how do u distinguish an S2 split from an S3?

[hematoxilino]

@athanu123

by the caracter of the sound

[hematoxilino]

@athanu123

[mcphung]

@athanu123 use the bell. If the sound disappears when you use the diaphragm, then you have an s3.

[khairyshalhoob]

@athanu123

Splitting changes with inspiration\expiration unless its fixed .

[LawOfChance]

(well not in this case, but you know what I'm saying)

[LawOfChance]

Hahaha, I heard this in my heart and I was kind of scared. Lol, I didn't know that it was normal. :)