Airmen perform flight medicine exams 120502-F-YG608-005.jpg

S4 is the fourth heart sound, the "ta" of "ta-lub-dub," or the "chich" in "chich-a-ron." An S4 is also known as the Tennessee gallop because of the high density of patients with S4 gallops in this state.[1][2]


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References


  1. Physical Exam Tips: The Heart (Gomerblog)
  2. Product Review: Heartbeats by Dr. Dre Stethoscopes (Gomerblog)


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