Essentials of Bedside Cardiology: With a Complete Course in Heart Sounds and Murmurs on CD, Volume 1
This book enables the physician and medical student to diagnose cardiovascular disorders through history-taking and physical examination. It also shows how to combine the use of technology, (i.e. echocariograph) with physical examination to arrive at the proper diagnosis. Accompanying this book is a CD-ROM demonstrating all the heart sounds and murmers with accompanying descriptions of what they signify. This is the only book that teaches how to recognize normal jugular pressure accuratley, how to record auscultation findings by use of an aucultogram, how to tell cardiac function by the blood pressure cuff and Valsalva method, how to diagnoses cardiomegaly on an X-ray, and how to tell whether the apex beat is due to a right or left ventricle. Here, the medical student will be able to learn the skills of physical examination to supplement and verify their technological diagnosis. In this significantly enhanced second edition, Jules Constant, MD, helps physicians to perfect the fine art of history-taking and physical examination as corrective strategy to the sometimes false positives and negatives produced by advanced medical technologies in the diagnosis of cardiac disease. Moving beyond total reliance on laboratory data to the expert evaluation of personal patient data, Dr. Constant summarizes forty years of clinical experience with a proven list of time-tested questions designed to elicit the crucial nuances of cardiac-related symptoms, and then provides a complete differential diagnosis for each demonstrated symptom. His method includes numerous practical tips for obtaining cardiac clues from physical appearance, measuring arterial and jugular pulses and pressures, and using a stethoscope. The heart of the book is an extensive discussion of the art and science of diagramming and grading heart sounds and murmurs, ranging from S1 through S4 to ejection, systolic regurgitant, diastolic, and abdominalal murmurs. A invaluable, stand-alone compact disc
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