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Gallops
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'''Gallops''' may represent pathology in older patients.<ref>[[Filehttp://gomerblog.com/2015/12/heart/ Physical Exam Tips:Kentucky_Derby_2014_finishThe Heart]</ref> When you hear an S3 or S4 gallop, step back and make sure you’re not anywhere near a racetrack like Preakness or Belmont.jpg|500px|thumb|left| As the old adage goes, ''S1Whenever you hear hoofbeats, followed by S2 and S3 to the finish in the 2014 Kentucky Derbyalways think [[Barrett's Esophagus|horses]].'' How embarrassing would it be to hear a [[Murmurs|murmur]]when it turns out you were just examining a thoroughbred?