Composed of an audio CD and a companion book, this package demonstrates how to do accurate clinical evaluations of the heart and lungs in the examining room. The CD offers step-by-step instructions on how to identify, interpret, and differentiate heart and lung sounds in dogs and cats. Made by using a heart sound simulator as well as recordings from patients, the CD also covers heart murmurs and arrhythmias.
The book expands on the CD content and offers clear, concise illustrations of electrocardiograms (ECGs) and polarcardiograms (PCGs). It also includes pretests and post-tests to ensure thorough understanding of the material, as well as content on properties of sound, the stethoscope, and keys to successful auscultation.
This book of approximately 100 pages, together with an audio CD, is an excellent guide to heart and lung sounds. The book is very thorough and complete and at the same time small enough to fit into a (fairly large) pocket. It is written by three experts in the field of cardiac and respiratory auscultation.
The book provides step-by-step instructions on how to identify, interpret and differentiate normal heart and lung sounds, abnormal heart and lung sounds, murmurs and arrhythmias. Complete with pre as well as post reading ‘test', the book and CD will tell you how much of different heart and lung sounds you already knew before entering the ‘course' and how much you have learned from reading the book and listening to the CD.
The book is divided into four chapters as follows: Heart sounds, Murmurs, Arrhythmias, and Lung sounds. Each chapter begins with clearly stated objectives followed by a pre-test to evaluate your level of knowledge beforehand. After reading the text and listening to the CD there is an appropriate post-test to evaluate what you have learned. Bothe simulated sounds and natural sounds from clinical cases are presented on the CD. Simulated sounds allow the listener to focus on heart sounds without the distraction of breathing sounds and artifacts. Natural sounds of murmurs and abnormal respiration are included to represent the clinical situation. Graphic presentations of ECG's and phonocardiogram's accompany the heart sounds for clarity. This appears to be a very efficient way on conveying knowledge to the reader. Each chapter is also equipped with tables for a quick reference of differential diagnoses for different auscultatory phenomena, making the book very useful as a handbook to be used in day-to-day practice.
In summary, this book and CD are excellent tools to help learn the difficult art of auscultation and is useful for the veterinary student as well as the experienced clinician.
Anna Tidholm, DVM, PhD, Dipl. ECVIM (S)
European Journal of Companion Animal Practice, Vol. 17 (1) April 2007
- NEW! Lung sounds are now included, in addition to heart sounds.
- An easy-to-follow format simplifies learning.
- Pretests may be taken prior to reviewing the CD to measure how much the user already knows.
- Posttests help determine when the material has been mastered.
- Clinically relevant conditions are included, making it easy for readers to apply this information to day-to-day practice.
New to this Edition
- Lung sounds added
- Many more heart sounds
- Section on murmurs and arrhythmia expanded
- Intros for each sound on the CD have been expanded to provide more information
Table of Contents
Suggestions for Program Use
· Objectives (Section 1)
· Pretest 1
· Table of Abbreviations
· Some Properties of Sound
-Quality or Shape
-Perception of Sound
· Cardiovascular Sound
· The Stethoscope
· Keys to Successful Auscultation
· Principal Areas of Cardiac Auscultation
· Hemodynamics of the Cardiac Cycle
· The First Heart Sound (S1)
· The Second Heart Sound (S2)
· The Third Heart Sound (S3)
· The Fourth Heart Sound (S4)
· Quadruple Rhythm and Summation Sound or Gallop
· Ejection Sounds or Clicks
· Mid-Systolic Sounds or Clicks
· Answers to Pretest 1
· Post-Test 1
· Answers to Post-Test 1
· Objectives (Section 2)
· Pretest 2
· Evaluation of Heart Murmurs
· Systolic Murmurs
-Systolic Ejection Murmurs
-Holosystolic or Regurgitant Murmurs
-Causes of Holosystolic Murmurs
· Diastolic Murmurs
· Continuous Murmurs
· Answers to Pretest 2
· Post-Test 2
· Answers to Post-Test 2
· Pretest 3
· Auscultation of Selected Arrhythmias
· Answers to Pretest 3
· Post-Test 3
· Answers to Post-Test 3
· Pretest 4
· Normal Lung Sounds
· Abnormal Lung Sounds
· Loudness of Lung Sounds
· Answers to Pretest 4
· Post-Test 4
· Answers to Post-Test 4
By Francis W.K. Smith, Jr., DVM, DACVIM, Veterinary Telemedicine Group Inc., Lexington, MA; Bruce W. Keene, DVM, MSc, DACVIM, Department of Companion Animal and Special Species Medicine, College of Veterinary Medicine, North Carolina State University, Raleigh, NC; and Larry P. Tilley, DVM, DACVIM, Santa Fe, NM