Cardiology Secrets, Third Edition by Glenn N. Levine

By Glenn N. Levine

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Begin with general characteristics such as the age, gender, size, and position of the patient. 2. Next examine the periphery of the film, including the bones, soft tissue, and pleura. Look for rib fractures, rib notching, bony metastases, shoulder dislocation, soft tissue masses, and pleural thickening. 3. Then evaluate the lung, looking for infiltrates, pulmonary nodules, and pleural effusions. 4. Finally, concentrate on the heart size and contour, mediastinal structures, hilum, and great vessels.

12. Sauve JS, Laupacis A, Ostbye T, et al: The rational clinical examination. Does this patient have a clinically important carotid bruit? JAMA 270:2843-2845, 1993. Salvatore Mangione, MD CHAPTER 2 HEART MURMURS Editor’s Note to Readers: For an excellent and more detailed discussion of heart murmurs, read Physical Diagnosis Secrets, ed 2, by Salvatore Mangione. 1. What are the auscultatory areas of murmurs? Auscultation typically starts in the aortic area, continuing in clockwise fashion: first over the pulmonic, then the mitral (or apical), and finally the tricuspid areas (Fig.

Danielsen R, Nordrehaug JE, Vik-Mo H: Clinical and haemodynamic features in relation to severity of aortic stenosis in adults, Eur Heart J 12:791-795, 1991. 5. Etchells E, Bell C, Robb K: Does this patient have an abnormal systolic murmur? JAMA 277:564-571, 1997. 6. Mangione S: Physical diagnosis secrets, ed 2, Philadelphia, 2008, Mosby. Glenn N. Levine, MD, FACC, FAHA CHAPTER 3 ELECTROCARDIOGRAM 1. What are the most commonly used criteria to diagnose left ventricular hypertrophy (LVH)? & R wave in V5-V6 þ S wave in V1-V2 > 35 mm & R wave in lead I þ S wave in lead III > 25 mm 2.

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