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Understanding Pediatric Heart Sounds - Text & CD Package / Edition 2

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2003 Trade paperback 2nd ed. This is complete book& Audio CD package-Absolutely brand new(never opened)/slightly shelfworn to cover case-No international shipping available[GL3] ... Trade paperback (US). Glued binding. 256 p. Contains: Illustrations. Audience: General/trade. Read more Show Less

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This unique book/CD package includes all the information needed to become proficient at pediatric cardiac auscultation — including an overview of cardiac anatomy and physiology, principles of cardiac auscultation, the pediatric cardiac exam, and explanations of normal and abnormal heart sounds, with sound tracings and anatomic illustrations. The audio CD features normal and abnormal heart sounds with descriptive narration that identifies differences and important observations.

• Audio examples of pediatric heart murmurs are included to illustrate and reinforce textual descriptions of normal and abnormal sounds.
• The proper techniques and areas for auscultation are described to ensure clear reception of heart sounds.
• Physical examination of the child with heart disease is covered to assist with proper identification of heart sounds.
• A comprehensive overview of normal cardiac anatomy, physiology, and heart sounds is provided as a basis for understanding abnormal sounds.
• Cardiac sounds associated with abnormal and surgically corrected heart conditions are described to assist with correct diagnosis.

• The audio cassette from the first edition has been updated to a digital CD to allow for clearer reproduction of heart sounds.
• A new sound sample has been introduced on the CD for the most complete collection of commonly encountered pediatric heart murmurs.
• Content has been updated on genetic conditions such as Marfan's, Ehlers-Danlos, Williams', and cardiovelofacial syndromes — for a more comprehensive overview of related cardiac anomalies.
• Updated information is included on cardiac surgical repairs to assist in identifying corresponding heart sounds.

Review of A&P/methods for history taking/physical exam/aus- cultation/20 minutes audio tape reproduces heart sounds.

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Product Details

  • ISBN-13: 9780721696461
  • Publisher: Elsevier Health Sciences
  • Publication date: 10/25/2002
  • Edition description: REV
  • Edition number: 2
  • Pages: 256
  • Product dimensions: 8.58 (w) x 11.26 (h) x 1.10 (d)

Meet the Author

Associate Professor, The Mount Sinai School of Medicine, City University of New York, New York, NY

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Table of Contents

Contents — Book
1. The Heart as a Pump
2. Sound, Hearing, and the Stethoscope
3. History and Physical Examination of the Child with Heart Disease
4. Phonocardiagraphy and the Recording of External Pulses
5. Auscultation Areas
6. The First Heart Sound (S1)
7. The Second Heart Sound (S2)
8. The Third and Fourth Heart Sounds (S3 and S4)
9. Other Systolic and Diastolic Sounds
10. General Characteristics of Murmurs
11. Systolic Murmurs
12. Diastolic Murmurs
13. Continuous Murmurs
14. Surgically Created Shunts and Prosthetic Valves
15. Complex Anomalies

Contents — Audio CD
1. Introduction
2. First and second heart sounds, S1 and S2
3. Third heart sound, S3
4. Fourth heart sound, S4
5. Quadruple rhythm
6. Summation gallop
7. Systolic ejection sound
8. Midsystolic click
9. Still's murmur
10. Murmur of mitral regurgitation
11. Murmur of tricuspid regurgitation
12. Murmur of aortic stenosis
13. Murmur of pulmonic stenosis
14. Murmur of aortic regurgitation
15. Murmur of patient ductus arteriosus
16. Cervical venous hum
17. Murmur of a Blalock-Taussig shunt
18. Murmur of a ventricular septal defect
19. Murmur of atrial septal defect
20. Late systolic whoop
21. Pericardial friction rub

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  • Anonymous

    Posted October 13, 2003

    JAMA review of second edition

    Steven Lehrer's introduction to auscultation is a primer of pulmonary diagnosis using lung sounds as its unifying theme. Intended to educate the ear as much as the mind, his kit is a self-contained learning experience for the medical student. It may also be useful for critical care and pulmonary service nurses. The kit is an excellent learning system and is highly recommended as an introduction to the topic. The book begins with an homage by Victor McKusick to the Golden Age of auscultation, introduced by Rene Theophile Hyacinthe Laennec in 1816. The sketch is too brief to elaborate on the fascinating history of auscultation, which at the time was a monumental undertaking. Laennec codified his work in 1819 in his book Traité de l'auscultation médiate, an effort that exhausted him and extracted a two-year period of recovery from his career. Laennec was a pupil of Jean Nicholas Corvisart, the leading advocate and systematizer of chest percussion. Mentor and student defined the chest examination as we know it. Lehrer continues the work, as the transmitter of a grand tradition. The first chapter reviews the anatomy of the lung and the physiology of ventilation, omitting blood gas interpretation. Lehrer also introduces common pathological conditions, briefly exploring their auscultatory findings. The second chapter shifts attention to the other end of the stethoscope: the listener. Lehrer discusses sound characteristics, the hearing mechanism, and the stethoscope as an instrument. In the third chapter, he introduces the history and physical examination of the patient with chest disease. Here he departs from the emphasis on auscultation to provide the student with a context for the auscultatory examination--an appreciation for the findings that are likely to accompany the abnormal sounds. Chapter 4 discusses normal breath sounds. This is a fine outline of physical examination of the chest, worth a complete physical diagnosis teaching session with students. It also introduces a simple graphic system of notation. The interested specialist may welcome the discussion of recording systems and waveform analysis. The novice may find this tedious, but the visual display of a waveform does help to prepare one for informed listening. Chapter 5 is what most students will consider the meat of the program, an outstanding and comprehensive treatment of abnormal lung sounds that does not ignore minor phenomena such as mouth noises. Mixing clinical observation with experimental findings, Lehrer explains the origins of abnormal lung sounds and interprets them in keeping with structural and functional changes in the lung. The script to the accompanying tape, a glossary, and an index round out the book. The script and tape provide examples of the more important normal and abnormal lung sounds, followed by a short quiz. Each lung sound is introduced, demonstrated, and explained. Lehrer has the student listen to the tape through a stethoscope to ensure realism. For the more experienced reader, the text reminds one how unsatisfactory the usual descriptors of lung sounds have become. After Laennec's elegant system in French, his English-speaking disciples (who are legion) seemed determined to add their own vocabulary. Both the American Thoracic Society and the American College of Chest Physicians have tried to standardize the terminology, in so doing unfortunately reducing it to an impoverished few words: rales (or crackles), wheeze, and rhonchus. Lehrer is wise to use British descriptors, which are more precise. However, there is something evocative about terms like 'consonating rales,' and one misses the poetry of authors like J. Milner Fothergill, who wrote in his Chronic Bronchitis (New York, NY: GP Putnam's Sons; 1882: pp.23-24): 'Careful percussion . . . tells much about the complications of chronic bronchitis; even when it has nothing to say about the malady itself. Auscultation, however, is eloquent, even loquacious, about the disea

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  • Anonymous

    Posted October 27, 2008

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