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One of the most time-consuming tasks in clinical medicine is seeking the opinions of specialist colleagues. There is a pressure not only to make referrals appropriate but also to summarize the case in the language of the specialist. This book explains basic physiologic and pathophysiologic mechanisms of cardiovascular disease in a straightforward manner, gives guidelines as to when referral is appropriate, and, uniquely, explains what the specialist is likely to do. It is ideal for any hospital doctor, generalist, or even senior medical student who may need a cardiology opinion, or for that ma.
Accompanying compact disc includes examples of pediatric heart sounds in healthy and diseased states.
The book contains a series of core auscultation “lessons”. All are case based and describe auscultation as it relates to a patient and in terms of the gold standard for interpretation of heart sounds. Auscultation is the term for listening to the internal sounds of the body, usually using a stethoscope. It is performed for the purposes of examining the circulatory system and respiratory system (heart sounds and breath sounds). As a topic it is one of the oldest in cardiology but its utility should never be underestimated. In this era of hugely expensive imaging tests, auscultation is a cornerstone of efficient diagnosis and therefore needs a fresh look. The core content of this book describes the search for diagnostic clues within patients’ heart sounds and as such this book provides superb practical advice in the form of a series of clinical pearls reflecting what accurate diagnosis with auscultation can mean to patient prognosis and outcome. This often subtle but ultimately simple subject often produces complex results and these must be considered in light of modern next-level diagnostic methods and patient management.
Pediatric Heart Sounds offers in-depth tutorials of specific pediatric heart sounds and a diagnosis of those sounds. A self-assessment option helps the viewer to recognize the audio features of a heart condition as well as how to analyze logically and ‘dissect’ the murmur to improve identification. The book is designed to provide explanation of the mechanisms involved.
This audiotape reviews over 50 heart sounds encountered in patient care.
Are you mystified by murmurs? Puzzled by pitch? Stymied by splitting? If so, this is the book for you. Cardiac auscultation can be a frustrating skill to learn, and many physical examination texts address cardiac auscultation in a cursory fashion. The wide variety of heart sounds available on CD and the internet may serve more to confuse than to clarify. The philosophy of this book is that understanding is a much more powerful tool than memorization in arriving at a differential diagnosis. This book takes the form of a programmed text. Each page presents a simple concept or two related to anatomy, physiology, pathophysiology or even physics. Applying this knowledge - knowledge you already possess - provides a solid foundation for arriving at a diagnosis in many cases.
"This unique resource combines a comprehensive book with innovative audio sounds to help you master cardiac auscultation. The text explains how to identify and interpret normal and common abnormal heart sounds, while the audio lets you actually hear the sounds about which you are learning." -- back cover.
It has been our experience that instruction in physical examination of the heart in medical schools has been deteriorating since the advent of such modern diagnostic tools as two-dimensional echocardiography and nuclear imaging. At best, the teaching has been sketchy and too superficial for the student to appreciate the pathophysiological correlates. Both invasive and the noninvasive modern technologies have contributed substantially to our knowledge and understanding of cardiac physical signs and their pathophysiological correlates. However, both students and teachers alike appear to be mesmerized by technological advances to the neglect of the age-old art, as well as the substantial body of science, of cardiac physical examination. It is also sad to see reputed journals give low priority to articles related to the clinical examination. Our experience is substantiated by a nationwide survey of internal medicine and cardiology training programs, which concluded that the teaching and practice of cardiac auscultation received low emphasis, and perhaps other bedside diagnostic skills as well (1). The state of the problem is well reflected in the concerns expressed in previous publications (2–4), including the 2001 editorial in the American Journal of Medicine (Vol. 110, pp. 233–235), entitled “Cardiac auscultation and teaching rounds: how can cardiac auscultation be resuscitated?”, as well as in the rebuttal, “Selections from current literature. Horton hears a Who but no murmurs—does it matter?” (5).
Heart Sounds Made Incredibly Easy! is an entertaining, easy-to-read, practical, and informative reference that includes an audio CD of heart sounds for those who must accurately interpret heart sounds and understand their implications, diagnosis, and treatments. Revealing the importance of accurate heart sound interpretation, this Incredibly Easy! title walks the reader through more than 65 heart sounds. The book includes an audio index and cues to the CD throughout the text for each sound, which allows the reader to listen to the sounds sequentially with the book or review them out of sequence.
Awarded The British Medical Association Student Textbook Award 2009, this short and accessible book comes with an interactive CD of heart sounds recorded from actual patients using the latest digital audio technology. Cardiac auscultation is one of the most difficult clinical skills to acquire and competence in this area is extremely variable. With the CD the user can listen to a recording and either eliminate or enhance the different components until they are confident that they have correctly identified the sounds in all phases of the cardiac cycle. This Second Edition uses the latest software and includes new features, such as the ability to slow the heart sounds down without altering their pitch. The layout of the CD has been improved to make it quicker to access. New questions and answers in both the book and the CD allow readers to monitor their knowledge and progress. The visual representation of the cardiac cycle also helps readers understand the origin of the heart sounds. This CD is suitable for use in all PC/Macs which have a tray-loading CD-ROM drive. It is not compatible with slot-loading CD-ROM drives. The book provides a simple guide to cardiac auscultation along with useful teaching points and summaries The interactive CD recordings allow the various components of each heart sound to be eliminated and restored to aid understanding Using this package of book and CD the reader can gain a full understanding of cardiac auscultation in minutes that can take years to learn in clinical practice This CD is suitable for use in all PC/Macs which have a tray-loading CD-ROM drive. It is not compatible with slot-loading CD-ROM drives Expanded content with additional information on the principles of cardiac auscultation in the context of the overall cardiac examination. Now presented in colour with additional imaging and colour diagrams to aid interpretation. The CD has been completely redesigned using the latest software. Recordings of heart sounds can now be slowed down without altering their pitch. Includes new questions and answers to test knowledge.