a-fib heart sounds

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How do you describe the sounds of A-fib besides "irregular?"
what on auscultation/physical exam would prompt you be reasonably sure A-fib is present?

I'm an MSII, learning the H&P. I saw this patient's chart/EKG afterwards and totally missed it. I'd like to catch it the first time around next time.

 

[deleted87716]

How do you describe the sounds of A-fib besides "irregular?"

"Irregularly irregular."

what on auscultation/physical exam would prompt you be reasonably sure A-fib is present?

An EKG.

Seriously, though...it can be tough to distinguish between frequent PACs/PVCs and AF on exam. You really need the EKG to be sure.