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| download heart sounds and murmurs: Learning Cardiac Auscultation Allen J. Taylor, 2015-10-13 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. |
| download heart sounds and murmurs: Encyclopedia of Heart Diseases M. Gabriel Khan, 2005-12-14 The Encyclopedia of Heart Diseases is an accurate and reliable source of in-depth information on the diseases that kill more than 12 million individuals worldwide each year. In fact, cardiovascular diseases are more prevalent than the combined incidence of all forms of cancer, diabetes, asthma and leukemia. In one volume, this Encylopedia thoroughly covers these ailments and also includes in-depth analysis of less common and rare heart conditions to round out the volume's scope. Researchers, clinicians, and students alike will all find this resource an invaluable tool for quick reference before approaching the primary literature.* Coverage of more than 200 topics, including: applied pharmacology of current and experimental cardiac drugs, gene therapy, MRI, electron-beam CT, PET scan put in perspective, cardiac tests costs and justification, and new frontiers in cardiovascular research* More than 150 helpful figures and illustrations!* Dr. Khan is a well-published and respected expert in heart and heart diseases |
| download heart sounds and murmurs: Cardiology Explained Euan A. Ashley, Euan Ashley, Josef Niebauer, 2004 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. |
| download heart sounds and murmurs: Auscultation Skills , 2009-10-01 This book-and-audio-CD package offers nurses, nurse practitioners, and physician assistants a solid basis for recognizing and differentiating among abnormal breath and heart sounds. Forty-six tracks of breath sounds and 50 heart sounds complement the full-color text. |
| download heart sounds and murmurs: Cardiovascular Physiology Concepts Richard E. Klabunde, 2005 This uniquely readable, compact, and concise monograph lays a foundation of knowledge of the underlying concepts of normal cardiovascular function. Students welcome the book's broad overview as a practical partner or alternative to a more mechanistically oriented approach or an encyclopedic physiology text. Especially clear explanations, ample illustrations, a helpful glossary of terms, tutorials, and chapter-opening learning objectives provide superb guidance for self-directed learning and help fill the gap in many of today's abbreviated physiology blocks. A focus on well-established cardiovascular principles reflects recent, widely accepted cardiovascular research. The supplemental CD-ROM is an interactive, dynamically linked version of the book, which is organized by normal cardiovascular function and cardiac disease. Students may begin a path of questioning with, for example, a disease condition and then pursue background information through a series of links. Students can also link to the author's regularly updated Web site for additional clinical information. |
| download heart sounds and murmurs: Heart Sounds Made Easy Elspeth M. Brown, 2008-01-01 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. |
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| download heart sounds and murmurs: The Art and Science of Cardiac Physical Examination Narasimhan Ranganathan, Vahe Sivaciyan, Franklin B. Saksena, 2010-11-09 A panel of academic clinicians brings the art and science of the clinical cardiac examination to the bedside with a tour de force tutorial on the techniques needed to elicit various physical signs and to interpret them in relation to the patient's symptoms and underlying cardiac condition. Drawing on twenty-five years of teaching and training physicians and physicians-to-be, the authors integrate the physiology, pathophysiology, and mechanisms behind the various physical signs with a thorough and easy-to-use practical approach that makes physician feel more comfortable and competent performing the cardiac physical examination. The authors pay particular attention to the interpretation of the jugular venous pulsations and contour and make the physiology and pathophysiology of the normal and abnormal arterial pulse interesting and relevant. |
| download heart sounds and murmurs: Atlas of Cardiac Surgical Techniques E-Book Frank W. Sellke, Marc Ruel, 2018-01-31 Get expert, step-by-step guidance on a wide variety of both open and interventional cardiac surgical techniques. Atlas of Cardiac Surgical Techniques, 2nd Edition, helps you expand your surgical repertoire and hone your skills with a vividly illustrated, easy-to-navigate text and pearls and pitfalls throughout. This revised atlas covers the surgical procedures you need to master, including minimally invasive techniques, robotic surgery, aortic dissection, and much more. - Seven brand-new chapters cover Hybrid Coronary Revascularization, Aortic Valve Repair Techniques, Transcatheter Aortic Valve Replacement, Robotic Mitral Valve Surgery, Surgery for Hypertrophic Cardiomyopathy, Approaches and Techniques to Extra-Corporeal Membrane Oxygenation, and Pulmonary Endarterectomy. - Multiple new contributing authors offer a fresh perspective in their areas of expertise. - A consistent chapter format guides you quickly from surgical anatomy and preoperative considerations through operative steps and postoperative care. - Online videos highlight key stages of surgical procedures. - More than 400 full-color images, line drawings, and intraoperative photographs clearly depict the step-by-step progression of procedures. - Expert ConsultTM eBook version included with purchase. This enhanced eBook experience allows you to search all of the text, figures, and references from the book on a variety of devices. |
| download heart sounds and murmurs: Understanding Heart Sounds and Murmurs Ara G. Tilkian, Mary Boudreau Conover, 2001 Accompanying compact disc includes examples of various heart and lung sounds in healthy and diseased states. |
| download heart sounds and murmurs: Pathophysiology of Heart Disease Leonard S. Lilly, 2020-05-26 Enthusiastically acclaimed by medical students and faculty worldwide, this text is specifically designed to prepare students for their first encounters with patients with cardiovascular disease. Thoroughly revised by internationally recognized Harvard Medical School faculty and a team of select cardiology fellows and internal medicine residents, this seventh edition equips students with a clear, complete, and clinically relevant understanding of cardiovascular pathophysiology, setting a strong foundation for patient diagnosis and management. |
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| download heart sounds and murmurs: Cardiology for Veterinary Technicians and Nurses H. Edward Durham, Jr., 2017-09-05 Cardiology for Veterinary Technicians and Nurses is a comprehensive resource for veterinary technicians and nurses working with cardiovascular patients in veterinary practice. Offers a complete reference to veterinary cardiology targeted at veterinary technicians and nurses, summarizing fundamental knowledge on cardiovascular disease Covers dogs, cats, horses, ruminants, and camelids Provides information ranging from introductory to advanced for a thorough guide to cardiac conditions Presents detailed procedures for common cardiac catheterization techniques, including supplies required Includes photographs and illustrations to depict the concepts described |
| download heart sounds and murmurs: Cardiovascular Sound in Health and Disease Victor Almon McKusick, 1958 |
| download heart sounds and murmurs: Diagnosis of Heart Disease Noble O. Fowler, 2011-09-27 Here is a practical guide giving you systematic strategies for correctly diagnosing heart disease. The emphasis is on the patient's history and the physical examination, the two cornerstones of medical diagnosis. These are correlated with knowledge of the natural history of disease and the physical findings of subsequent examination techniques. The role of current examination technology - both invasive and noninvasive - is discussed. Important advances in the field, including procedures such as echocardiography, transesophageal probe, exercise electrocardiography, nuclear ventriculography and magnetic resonance imaging, are taken into consideration. The book covers all major heart diseases and is liberally illustrated. |
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| download heart sounds and murmurs: Clinical Cardiology Made Ridiculously Simple Michael A. Chizner, M.D., 2023-01-09 The new edition includes thoroughly revised and updated information about the latest clinical trials and guidelines in Cardiology. For medical students, house officers, cardiac fellows, practicing physicians, nurses, nurse practitioners, physician associates and other health care professionals. A clear, concise, highly practical and enjoyable overview of all of clinically relevant cardiology. History, physical, ECG (ECG interpretation taught in just 40 pages!), radiology, noninvasive and invasive diagnostic tests, therapy (both pharmacologic and non-pharmacologic), cardiac device therapy, and cardiac surgery. A final section of the book takes the full gamut of cardiac pearls of wisdom obtained in all previous chapters and Puts It All Together to clearly teach the approach to diagnosis and treatment of the most common cardiac pathologies. Putting It All Together includes: APPROACH TO THE PATIENT WITH CORONARY ARTERY DISEASE APPROACH TO THE PATIENT WITH HEART FAILURE APPROACH TO THE PATIENT WITH SYSTEMIC ARTERIAL HYERTENSION APPROACH TO THE PATIENT WITH DYSLIPIDEMIA APPROACH TO THE PATIENT WITH VALVULAR HEART DISEASE APPROACH TO THE PATIENT WITH HYPERTROPHIC CARDIOMYOPATHY APPROACH TO THE PATIENT WITH INFECTIVE ENDOCARDITIS APPROACH TO THE PATIENT WITH AORTIC DISSECTION APPROACH TO THE PATIENT WITH PERICARDIAL DISEASE APPROACH TO THE PATIENT WITH PULMONARY HYPERTENSION APPROACH TO THE PATIENT WITH A HEART MURMUR APPROACH TO THE PATIENT WITH CARDIAC ARRHYTHMIAS AND CONDUCTION DISTURBANCES APPROACH TO THE PATIENT WITH ADULT CONGENITAL HEART DISEASE APPROACH TO THE PATIENT WITH HEART DISEASE UNDERGOING NON-CARDIAC SURGERY APPROACH TO THE PATIENT WITH NEOPLASTIC HEART DISEASE APPROACH TO THE PATIENT WITH FALSE HEART DISEASE APPROACH TO THE PATIENT WITH AN ACUTE CARDIAC EMERGENCY Companion Digital Download of Heart Sounds & Images program (Win/Mac) with heart sounds, ECG interpretation, chest x-rays, echocardiography, cases, and quiz. |
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| download heart sounds and murmurs: Mayo Clinic Internal Medicine Board Review Questions and Answers Robert D. Ficalora, 2013-08-15 Companion volume to: Mayo Clinic internal medicine board review. 10th ed. c2013. |
| download heart sounds and murmurs: Phonocardiography Signal Processing Abbas K. Abbas, Rasha Bassam, 2022-05-31 The auscultation method is an important diagnostic indicator for hemodynamic anomalies. Heart sound classification and analysis play an important role in the auscultative diagnosis. The term phonocardiography refers to the tracing technique of heart sounds and the recording of cardiac acoustics vibration by means of a microphone-transducer. Therefore, understanding the nature and source of this signal is important to give us a tendency for developing a competent tool for further analysis and processing, in order to enhance and optimize cardiac clinical diagnostic approach. This book gives the reader an inclusive view of the main aspects in phonocardiography signal processing. Table of Contents: Introduction to Phonocardiography Signal Processing / Phonocardiography Acoustics Measurement / PCG Signal Processing Framework / Phonocardiography Wavelets Analysis / Phonocardiography Spectral Analysis / PCG Pattern Classification / Special Application of Phonocardiography / Phonocardiography Acoustic Imaging and Mapping |
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| download heart sounds and murmurs: Neonatology for Primary Care Deborah E. Campbell, 2020-02-15 The revised and updated second edition covers practical approaches to caring for healthy and high-risk infants. The book covers maternal and fetal health, care of the newborn after delivery, breastfeeding, follow-up care, common congenital anomalies, the newborn with a heart murmur or cyanosis, neurologic findings, primary care issues relating to infants requiring intensive care, and health and developmental outcomes. More than 40 chapters cover step-by-step guidance on what to do, when to admit, and when to refer. Recommendations and lists detailed references within each chapter. New in the second edition: 8 new chapters added including: Shared decision making around home technologies Endocrine disorders manifesting in the newborn period Optimizing Nutrition for the Preterm, Very Low-Birth-Weight Infant After Discharge From Neonatal Intensive Care Newborn Immunizations and Immune Prophylaxis Balancing Safe Sleep and Other Newborn Recommendations Vascular Anomalies Endocrine Disorders Presenting in the Newborn Period Shared Decision Making Around Home Technologies |
| download heart sounds and murmurs: Sports Cardiology Essentials Christine E. Lawless, 2010-11-09 This book presents an invaluable symptoms-based approach to sports cardiology for sports medicine physicians, primary care physicians, and cardiologists. Edited by an authority in the field, the text offers sought-after insight on the cardiac health of athletes. Case studies are featured throughout to further understanding and the integration of concepts into daily practice. With contributions by both sports medicine physicians and cardiologists, this timely book bridges the gap between disciplines and is an unparalleled resource for those looking to effectively manage the cardiac health of active patients. |
| download heart sounds and murmurs: Hemodynamic Rounds Morton J. Kern, Michael J. Lim, James A. Goldstein, 2018-04-23 The essential resource on cardiac hemodynamics—now in a new edition Hemodynamic Rounds, Fourth Edition is intended to help cardiologists, cardiovascular fellowship trainees, residents and other members of the medical community enhance their understanding of cardiac physiology and its associated hemodynamic presentations in health and disease. This includes the basic principles of flow and pressure measurements, systemic as well as coronary hemodynamics in normal and diseased states, and changes in hemodynamics following interventional procedures ranging from TAVI and valvuloplasty to stent placement. Like its popular predecessors, this new edition draws on case studies to illustrate characteristic cardiac hemodynamic findings and discusses the essential methods used in interpreting pressure waveforms as a diagnostic and monitoring tool. The text is organized into chapters on specific areas of the heart, common cardiac pathophysiologic conditions, and hemodynamic situations resulting from different therapeutic procedures. It includes discussions of both normal and abnormal pressure waveforms. This new edition has been revised throughout to include brand new content on aortic and mitral valve stenosis and regurgitation as well as TAVI and mitral clip hemodynamics. Highlights include: Essential and easy to understand resource for those required to interpret cardiac blood flow and blood pressure tracings Covers hemodynamic assessment by cardiac disorder, plus the bedside applications of hemodynamics Revised throughout and includes brand new content on valve stenosis and regurgitation and TAVI and mitral clip hemodynamics Hemodynamic Rounds: Interpretation of Cardiac Pathophysiology from Pressure Waveform Analysis, Fourth Edition is an indispensable tool for all physicians, nurses, and students responsible for measuring and interpreting cardiac waveforms in cardiac diagnosis and monitoring. |
| download heart sounds and murmurs: Physiological Origins of Heart Sounds and Murmurs John Michael Criley, 1997 Now with a Spanish component, this is the one and only multimedia program that integrates actual heart sounds with dynamic images of both normal and diseased hearts. Includes ultrasound and X-ray motion picture images, graphic hemodynamic recordings, animated diagrams, gross pathology, and text to help physicians and other health professionals better recognize classical heart sounds and murmurs. You will be truly amazed at how these difficult-to-visualize concepts become suddenly clear while you watch, listen and learn. Windows / Macintosh / Network Compatible |
| download heart sounds and murmurs: Core Topics in Cardiac Anesthesia Jonathan H. Mackay, Joseph E. Arrowsmith, 2012-03-15 Since the publication of the first edition of Core Topics in Cardiac Anaesthesia, the clinical landscape has undergone significant change. Recent developments include the increased use of electrophysiology, the resurgence of primary percutaneous intervention in acute coronary syndromes, the use of percutaneous devices in patients previously considered inoperable, and the withdrawal of aprotinin. Against this landscape, this invaluable resource has been fully updated. New chapters are dedicated to right heart valves, pulmonary vascular disease, cardiac tumours and cardiac trauma. All other chapters have been updated according to the latest international guidelines. Written and edited by an international author team with a wealth of expertise in all aspects of the perioperative care of cardiac patients, topics are presented in an easy to digest and a readily accessible manner. Core Topics in Cardiac Anaesthesia, Second Edition is essential reading for residents and fellows in anaesthesia and cardiac surgery and clinical perfusionists. |
| download heart sounds and murmurs: Physical Assessment of the Newborn Ellen P. Tappero, DNP, RN, NNP-BC, Mary Ellen Honeyfield, DNP, RN, NNP-BC, 2014-09-01 Physical Assessment of the Newborn, 5th Edition, is a comprehensive text with a wealth of detailed information on the assessment of the newborn. This valuable and essential resource illustrates the principles and skills needed to gather assessment data systematically and accurately, and also provides a knowledge base for interpretation of this data. Coverage addresses: gestational assessment, neurologic assessment, neonatal history, assessment of the dysmorphic infant, and systemic evaluation of individual body systems, as well as key information on behavioral and pain assessment, including the use of specific tools with various groups ranging from term to extremely preterm infants. Numerous tables, figures, illustrations, and photos, many of them in full color, are a major strength that enhances the book’s usefulness as a clinical resource. The text is an excellent teaching tool and resource for anyone who performs newborn examinations including nurses, neonatal and pediatric nurse practitioners, nurse-midwives, physicians and therapists. It can also serve as a core text for any program preparing individuals for advanced practice roles in neonatal care. KEY FEATURES: An authoritative and renowned text that comprehensively addresses all key aspects of newborn assessment Provides a well-ordered evaluation of individual body systems. Assists the practitioner in identifying infant state, behavioral clues, and signs of pain, facilitating individualized care. Comprehensively addresses the tremendous range of variation among newborns of different gestational ages. The content is amplified by numerous photos and illustrations, many in full color Includes Power Point slides and an Image Bank |
| download heart sounds and murmurs: Contemporary Internal Medicine Juan M. Bowen, Ernest L. Mazzaferri, 2013-06-29 In the previous two volumes of this series, we presented classic problems in internal medicine as illustrated by actual cases cared for in our institution. It has been gratifying for us to see the interest that these volumes have generated with students and trainees. We remain committed to the case method of instruction, and believe that there is no better method to learn medicine than to have an individual patient problem as the basis for study of pathophysiology, natural history, diagnosis and management. We hope that our readers find this third volume as enjoyable and instructive as the editors found it. Juan M. Bowen, MD Ernest L. Mazzaferri, MD, FACP xiii Acknowledgement The editors are grateful to Jeff Smith and Jenny Riegler for their unflagging professionalism and patience. xiv Contents Case 1 Mitral Regurgitation - Chronic Versus Acute: Implications for Timing of Surgery • . • • • . . • . . . . . • . . . . . . . . . . . 1 Harisios Boudoulas, MD Charles F. Wooley, MD Advances and diagnostic imaging in a surgical technique have changed the approach to mitral valve regurgitation. This chapter provides an expert's perspective. Case 2 Cystic Fibrosis in Adults .. • •••••••••••• 36 Andrew Libertin, MD John S. Heintz, MD As children with cystic fibrosis grow into adulthood, the internist assumes a greater role in their care. Case 3 Thrombotic Thrombocytopenic Purpura . . . . . . . . . . 51 . . . Donald E. Thornton, MD Earl N. Metz, MD, FACP Patients with ITP continue to present difficulties in diagnosis and management. Two experts discuss the current approach to ITP. |
| download heart sounds and murmurs: Understanding Pediatric Heart Sounds Steven Lehrer, 2003 Accompanying compact disc includes examples of pediatric heart sounds in healthy and diseased states. |
| download heart sounds and murmurs: Murmurs of Earth Carl Sagan, 2013-04-02 In 1977, two extraodinary spacecraft called Voyager were launched to the stars. Affixed to each Voyager craft was a gold-coated copped phonograph record as a message to possible extra-terrestrial civilizations that might encounter the spacecraft in some distant space and time. Each record contained 118 photographs of our planet; almost 90 minutes of the world's greatest music; an evolutionary audio essay on The Sounds of Earth; and greetings in almost sixty human languages (and one whale language). This book is an account, written by those chiefly responsible for the contents of the Voyager Record, of why they did it, how they selected the repertoire, and precisely what the record contains. |
| download heart sounds and murmurs: The Rational Clinical Examination: Evidence-Based Clinical Diagnosis David Simel, Drummond Rennie, 2008-08-25 The ultimate guide to the evidence-based clinical encounter This book is an excellent source of supported evidence that provides useful and clinically relevant information for the busy practitioner, student, resident, or educator who wants to hone skills of physical diagnosis. It provides a tool to improve patient care by using the history and physical examination items that have the most reliability and efficiency.--Annals of Internal Medicine There is a great deal to like about this book. It is focused on common clinical dilemmas and is well organized, and most chapters are a quick read....The evidence-based examination techniques put forth by Rational Clinical Examination the sort that can be brought to bear on a daily basis – to save time, increase confidence in medical decisions, and help decrease unnecessary testing for conditions that do not require absolute diagnostic certainty. In the end, the whole of this book is greater than its parts and can serve as a worthy companion to a traditional manual of physical examination.--Baylor University Medical Center (BUMC)Proceedings 5 STAR DOODY'S REVIEW! Physical diagnosis has been taught to every medical student but this evidence-based approach now shows us why, presenting one of medicine's most basic tenets in a new and challenging light. The format is extraordinary, taking previously published material and updating the pertinent evidence since the initial publication, affirming or questioning or refining the conclusions drawn from the data. This is a book for everyone who has studied medicine and found themselves doubting what they have been taught over the years, not that they have been deluded, but that medical traditions have been unquestionably believed because there was no evidence to believe otherwise. The authors have uncovered the truth. This extraordinary, one-of-a-kind book is a valuable addition to every medical library.--Doody's Review Service In the tradition of the famous Users' Guides to the Medical Literature, The JAMA series “The Rational Clinical Examination” was created to bring the principles of evidence-based medicine to the diagnostic process. Featuring specific clinical questions, numerous case examples, and precise summaries of available evidence, the RCE series was an instant hit. Now for the very first time in book form, completely updated with new literature analyses, here is a uniquely practical, clinically relevant approach to the use of evidence in the content of physical examination. Going far beyond the scope of traditional physical examination texts, this invaluable resource compiles and presents the evidence-based meanings of signs, symptoms, and results from physical examination maneuvers and other diagnostic studies. Page after page, you'll find a focus on actual clinical questions and presentations, making it an incomparably practical resource that you'll turn to again and again. Importantly, the high-yield content of The Rational Clinical Examination is significantly expanded and updated from the original JAMA articles, much of it published here for the first time. It all adds up to a definitive, ready-to-use clinical exam sourcebook that no student or clinician should be without. FEATURES All the expert perspectives on the application of evidence-based medicine principles-with all the authority of the pioneering JAMA series, The Rational Clinical Examination Packed with updated, new, and previously unpublished information from the original JAMA articles Standardized template for every issue covered, including: Case Presentation; Why the Issue Is Clinically Important; Research and Statistical Methods Used to Find the Evidence Presented; The Sensitivity and Specificity of Each Key Result; Resolution of the Case Presentation; and the Clinical Bottom Line Completely updated with all-new literature searches and appraisals supplementing each chapter Full-color format with dynamic clinical illustrations and images Real-world focus on a specific clinical question in each chapter, reflecting the way clinicians approach the practice of evidence-based medicine More than 50 complete chapters on common and challenging clinical questions and patient presentations Not-to-be-missed coverage of the principles of evidence-based medicine and physical diagnosis, with the concepts of specificity and sensitivity applied to the patient encounter Also available: JAMAevidence.com, a new interactive database for the best practice of evidence based medicine |
| download heart sounds and murmurs: Heartsounds Martha Weinman Lear, 2014-09-16 The national bestseller and undying testament of a wife’s love for her husband as he embarks on the fight of his life. On a story assignment in France for the New York Times Magazine, Martha Weinman Lear has just escaped tourist-infested Cannes for a quiet pension in the hills behind the Riviera when she gets the call from New York. Her husband has suffered a massive heart attack and is in the hospital. Harold Lear, a fifty-three-year-old urologist and leader in the field of human sexuality research, suddenly finds himself in the helpless role of the patient. Ripping into the Lears’ lives and marriage, Hal’s coronary disease sends them on a journey through New York City’s medical maze. With bittersweet poignancy, Lear chronicles her husband’s valiant efforts to combat his sickness as more heart attacks and devastating postsurgical complications befall him. A stunning work of medical drama and journalism, Heartsounds is above all the gripping story of a passionate, enduring love. |
| download heart sounds and murmurs: The Harriet Lane Handbook Harriet Lane Service, Helen Hughes, Lauren Kahl, 2017-05-01 |
| download heart sounds and murmurs: The Sounds of the Diseased Heart Aldo A. Luisada, 2013-10-22 The Sounds of the Diseased Heart presents the comprehensive study on auscultation and phonocardiography. It discusses the description of the sounds of the normal heart. It addresses the dynamic interpretation of cardiovascular murmurs. Some of the topics covered in the book are the abnormal first heart sound; hypertrophy or dilatation of the left ventricular wall; dilatation of the pulmonary artery; moderate pulmonary stenosis; atrial septal defect; changes in the duration of ejection; ventricular type of triple rhythm; and differential diagnosis between the pulmonary component, the opening snap, and the third sound. The general interpretation of triple and quadruple rhythms is fully covered. The dynamic correlations of cardiovascular murmurs are discussed in detail. The text describes in depth the semilunar valve stenosis. The mitral valve and tricuspid valve defects are presented completely. A chapter is devoted to the esophageal phonocardiography. The book can provide useful information to cardiologists, doctors, students, and researchers. |
| download heart sounds and murmurs: American Academy of Pediatrics Textbook of Pediatric Care Jane Meschan Foy, 2016-03-31 The definitive manual of pediatric medicine - completely updated with 75 new chapters and e-book access. |
| download heart sounds and murmurs: Discrete Wavelet Transforms Hannu Olkkonen, 2011 The discrete wavelet transform (DWT) algorithms have a firm position in processing of signals in several areas of research and industry. As DWT provides both octave-scale frequency and spatial timing of the analyzed signal, it is constantly used to solve and treat more and more advanced problems. The present book: Discrete Wavelet Transforms - Biomedical Applications reviews the recent progress in discrete wavelet transform algorithms and applications. The book reviews the recent progress in DWT algorithms for biomedical applications. The book covers a wide range of architectures (e.g. lifting, shift invariance, multi-scale analysis) for constructing DWTs. The book chapters are organized into four major parts. Part I describes the progress in implementations of the DWT algorithms in biomedical signal analysis. Applications include compression and filtering of biomedical signals, DWT based selection of salient EEG frequency band, shift invariant DWTs for multiscale analysis and DWT assisted heart sound analysis. Part II addresses speech analysis, modeling and understanding of speech and speaker recognition. Part III focuses biosensor applications such as calibration of enzymatic sensors, multiscale analysis of wireless capsule endoscopy recordings, DWT assisted electronic nose analysis and optical fibre sensor analyses. Finally, Part IV describes DWT algorithms for tools in identification and diagnostics: identification based on hand geometry, identification of species groupings, object detection and tracking, DWT signatures and diagnostics for assessment of ICU agitation-sedation controllers and DWT based diagnostics of power transformers.The chapters of the present book consist of both tutorial and highly advanced material. Therefore, the book is intended to be a reference text for graduate students and researchers to obtain state-of-the-art knowledge on specific applications. |
| download heart sounds and murmurs: Veterinary Secrets Andrew T. Jones, Andrew T Jones DVM, 2014-05-23 This manual draws from Dr Jones' 17 years' experience in veterinary medicine to provide a comprehensive, step-by-step guide to home pet care and disease remedies. Dr. Jones opens by explaining how he came to question conventional veterinary treatments then began to share his concerns publicly and openly educate pet owners, empowering them to provide their pets with quality, holistic care at home. Eventually, his efforts led to his expulsion from the British Columbia Veterinary College, resulting in a ban from practicing animal medicine. |
| download heart sounds and murmurs: Common Disorders and Diseases of Childhood George Frederic Still, 2023-07-18 As one of the pioneering works in the field of pediatrics, this book is a must-read for parents, caregivers, and medical professionals alike. Covering everything from common colds to more serious illnesses, it provides practical advice and compassionate guidance for managing childhood health issues. This work has been selected by scholars as being culturally important, and is part of the knowledge base of civilization as we know it. This work is in the public domain in the United States of America, and possibly other nations. Within the United States, you may freely copy and distribute this work, as no entity (individual or corporate) has a copyright on the body of the work. Scholars believe, and we concur, that this work is important enough to be preserved, reproduced, and made generally available to the public. We appreciate your support of the preservation process, and thank you for being an important part of keeping this knowledge alive and relevant. |
| download heart sounds and murmurs: Current Clinical Medicine William Dahill Carey, 2010 Current Clinical Medicine's 2nd edition, by the world famous Cleveland Clinic, is an Internal Medicine reference that gives you authoritative and actionable information wherever you are, whenever you need it. More than 40 updated chapters, 13 new chapters, and 30% new illustrations ensure that you'll have access to the most up-to-date guidance. In addition to its user-friendly, easy-access format and consistent, reliable coverage, this Expert Consult title includes a website with the complete contents of the book, fully searchable, downloadable images, and more, to keep you and your practice completely current. Includes access to a website featuring the complete contents of the book, fully searchable, access to patient information sheets, links to the Gold Standard Drug database, and much more, to keep you completely current. Provides consistent, reliable coverage to keep you on the top of your game. Includes summary boxes and algorithms for quick, confident diagnosis and treatment of each condition. Features a user-friendly format so you can find information quickly and easily. Contains more than a hundred full-color illustrations with a special focus on dermatology for highly visual guidance. Uses evidence-based gradings to help you evaluate your diagnoses. Includes many new chapters-including Hepatocellular Carcinoma, Head and Neck Cancer, Takayasu's Arteritis, and Non-Hodgkin and Hodgkin Lymphoma-as well as more than 40 substantially revised chapters, that ensure that you'll have access to the most current coverage. Features 30% new illustrations that provide you with updated details, concepts, and procedures. Your purchase entitles you to access the web site until the next edition is published, or until the current edition is no longer offered for sale by Elsevier, whichever occurs first. Elsevier reserves the right to offer a suitable replacement product (such as a downloadable or CD-ROM-based electronic version) should access to the web site be discontinued. |
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