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Rahul Damania, MD on Instagram: "If you’re studying for the USMLE, you need to understand inspiration/expiration hemodynamics—this shows up everywhere. 📚💡 Here’s the framework: Inspiration = negative intrathoracic pressure 🫁 You’re literally creating a vacuum that sucks blood back to the right heart → preload increases → right-sided murmurs get LOUDER (TR, PS). This is Carvallo’s sign and USMLE loves testing it. ✅ Positive pressure ventilation = opposite effect 🔄 BiPAP or mechanical ventilat
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