by
Michael E. McConnellMichael E. McConnell

There is, even now, no other basic physical examination skill is more important than cardiac auscultation. When a patient presents with a soft systolic murmur on auscultation, only good physical examination skills will allow the examiner to reassure the patient that the murmur is non-pathologic.
This book and CD ROM is not an exhaustive “encyclopedia” listing every possible abnormal sound with the appropriate clinical response. Instead, the goal is to increase the reader’s confidence using the stethoscope in an organized fashion, and once they have the organized system of auscultation, to improve their ability to tell pathologic from normal heart sounds. To further enhance the learning experience, all cardiac sounds on the CD ROM were recorded from patients with the specific cardiac abnormalities listed, and the specific pathology was confirmed using echocardiography.
The CD ROM forces the reader to evaluate all aspects of the cardiac examination from abnormalities of precordial activity to the first and second heart sounds. It has been designed for all trainees in the art of auscultation, from students through to more experienced internal medicine and primary care clinicians requiring a brush up on the techniques. Intensive instruction, followed by reexamining patients with known lesions, improves diagnostic accuracy. This book and CD ROM helps in this learning process

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