Understanding Lung Sounds (Booklet with Audio CD)

Understanding Lung Sounds (Booklet with Audio CD)
by Steven Lehrer

Understanding Lung Sounds (Booklet with Audio CD)
Our Price: $64.84
Availability: Usually ships in 1-2 business days
Buy Used: from $55.93 (click here)
Category: Book
See more book details and other editions


or

Book Summary Information

Author: Steven Lehrer
Edition: Paperback
Audio: English (Unknown); English (Original Language); English (Published)
Published: 2002-02-26
ISBN: 0721695973
Number of pages: 150
Publisher: Saunders

Book Reviews of Understanding Lung Sounds (Booklet with Audio CD)

Book Review: JAMA review of second edition
Summary: 5 Stars

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 disease.... Sometimes, especially when the patient is asleep, there may be quite a musical note...."

Medical texts will never be written like that again, but Lehrer's prose is as clear and precise as Fothergill's and on occasion even gets mildly carried away with the romance of its subject.

Tee L. Guidotti, MD, MPH University of Alberta Edmonton
JAMA 1995; 273(12):971

Summary of Understanding Lung Sounds (Booklet with Audio CD)

UNDERSTANDING LUNG SOUNDS is a practical, straightforward guide to understanding and interpreting normal and abnormal lung sounds. The package consists of 60-minutes of actual lung sounds on audio, plus a 160-page book. The audio teaches the user how to interpret, differentiate, and identify both normal and abnormal lung sounds step-by-step. The accompanying book expands on that foundation to provide a thorough background with a review of pulmonary anatomy and physiology, instruction in the use of the stethoscope, a guide to assessment of the thorax, and a comprehensive guide to the recognition and differentiation of breath sounds. A new CD delivers the audio component in a convenient, contemporary format. Completely revised and updated content includes the use of esophageal stethoscopes for quantification of lung sounds during anesthesia and surgery, phonopneumography, interpretation of tracheal wheezes during methacholine airway challenge after exposure to occupational hazards, and much more. The book includes new line drawings for a total of more than 100 drawings and photographs, and new Chapter Review and Critical Thinking Questions at the end of each chapter, with answer guidelines at the back of the book.

(Includes a FREE SIMON website at: www.harcourthealth.com/SIMON/Lemmi/) Book and CD-ROM ?

HTML, Graphics, & Design Books

Book Subjects
Most talked about in HTML, Graphics, & Design Books
Essential Macromedia Dreamweaver for Web Professionals ImageEssential Macromedia Dreamweaver for Web Professionals
by Tony Arguelles
Pearson Education; Published: 2001-12-15; Paperback; Book
Best price: $7.77
Price in other shops: $29.99
Multimedia in Action: Replacement Cd-Rom ImageMultimedia in Action: Replacement Cd-Rom
by Linda Tway
Morgan Kaufmann Pub; Published: 1995-04; Hardcover; Book
Netscape Navigator 2.0: Surfing the Web and Exploring the Internet : Windows Version ImageNetscape Navigator 2.0: Surfing the Web and Exploring the Internet : Windows Version
by Bryan Pfaffenberger
Morgan Kaufmann Pub; Published: 1996-05; Paperback; Book
Best price: $8.98
Price in other shops: $29.95
Semantic Web for the Working Ontologist, Second Edition: Effective Modeling in RDFS and OWL ImageSemantic Web for the Working Ontologist, Second Edition: Effective Modeling in RDFS and OWL
by Dean Allemang, James Hendler
Morgan Kaufmann; Published: 2011-06-03; Paperback; Book
Best price: $38.36
Price in other shops: $54.95
Mac OSX Developer Guide ImageMac OSX Developer Guide
by Jesse Feiler
Morgan Kaufmann; Published: 2001-10-19; Paperback; Book
Best price: $4.95
Price in other shops: $68.95
Frontiers in Scientific Visualization: Advances and Challenges ImageFrontiers in Scientific Visualization: Advances and Challenges
by L. Rosenblum, Rae Earnshaw, J. Encarnacao, H. Hagen, S. Klimenko, Daniel Thalmann, G. Nielson, F. Post
Academic Press; Published: 1994-11-21; Hardcover; Book
Best price: $36.50
Price in other shops: $62.00
Communication Technology: The New Media in Society (Series in Communication Technology and Society) ImageCommunication Technology: The New Media in Society (Series in Communication Technology and Society)
by Everett M. Rogers
Free Pr; Published: 1986-05; Hardcover; Book
Price in other shops: $29.95
Arco Everything You Need to Score High on the Gre: 2000 Edition (Master the Gre) ImageArco Everything You Need to Score High on the Gre: 2000 Edition (Master the Gre)
by Thomas H. Martinson
Arco Pub; Published: 1999-07; Paperback; Book
Price in other shops: $16.95
Pinnacle Studio 10 for Windows ImagePinnacle Studio 10 for Windows
by Jan Ozer
Peachpit Press; Published: 2005-09-24; Paperback; Book
Best price: $5.45
Price in other shops: $24.99
Apple Pro Training Series: Logic Pro 9 and Logic Express 9 ImageApple Pro Training Series: Logic Pro 9 and Logic Express 9
by David Nahmani
Peachpit Press; Published: 2009-11-16; Paperback; Book
Best price: $31.59
Price in other shops: $54.99
Similar Books and other products
Pocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook Series) ImagePocket Medicine: The Massachusetts General Hospital Handbook of Internal Medicine (Pocket Notebook Series)
by Marc S. Sabatine MD MPH
Lippincott Williams & Wilkins; Published: 2010-09-20; Ring-bound; Book
Best price: $48.49
Price in other shops: $61.95
Blueprints Obstetrics and Gynecology (Blueprints Series) ImageBlueprints Obstetrics and Gynecology (Blueprints Series)
by Tamara L. Callahan, Aaron B. Caughey
Lippincott Williams & Wilkins; Published: 2008-12-08; Paperback; Book
Best price: $27.99
Price in other shops: $40.95
Bates' Pocket Guide to Physical Examination and History Taking ImageBates' Pocket Guide to Physical Examination and History Taking
by Lynn S. Bickley MD
Lippincott Williams & Wilkins; Published: 2008-12-04; Paperback; Book
Best price: $28.00
Price in other shops: $51.95
DIAGNOSTIC PENLIGHT WITH PUPIL GAUGE - 6pk ImageDIAGNOSTIC PENLIGHT WITH PUPIL GAUGE - 6pk
PrimaCare; PrimaCare; Health Care
Best price: $5.05
Understanding Heart Sounds and Murmurs: With An Introduction to Lung Sounds (Book with Audio CD-ROM) ImageUnderstanding Heart Sounds and Murmurs: With An Introduction to Lung Sounds (Book with Audio CD-ROM)
by Ara G. Tilkian MD FACC, Mary Boudreau Conover RN BSN
Saunders; Published: 2001-01-15; Paperback; Book
Best price: $54.00
Price in other shops: $61.95
Acid-Base, Fluids, and Electrolytes Made Ridiculously Simple ImageAcid-Base, Fluids, and Electrolytes Made Ridiculously Simple
by Richard A. Preston
MedMaster Inc; Published: 2010-07-01; Paperback; Book
Best price: $11.99
Price in other shops: $22.95
Clinical Cardiology Made Ridiculously Simple (Edition 3 - 2010 printing) ImageClinical Cardiology Made Ridiculously Simple (Edition 3 - 2010 printing)
by Michael A Chizner
MedMaster Inc; Published: 2010-01-01; Paperback; Book
Best price: $35.00
Price in other shops: $35.95
3M Littmann Lung Sounds Educational CD Image3M Littmann Lung Sounds Educational CD
3M Littmann; 3M; Health Care
Best price: $29.72
Price in other shops: $49.00
Heart Sounds Made Easy with CD-ROM, 2e ImageHeart Sounds Made Easy with CD-ROM, 2e
by Elspeth M. Brown MB ChB FRCPCH, Terence Leung PhD MSc BEng, William Collis PhD BEng, Anthony P. Salmon FRCP FRCPCH
Churchill Livingstone; Published: 2008-06-24; Paperback; Book
Best price: $12.17
Price in other shops: $49.95
Auscultation Skills: Breath and Heart Sounds ImageAuscultation Skills: Breath and Heart Sounds
by Lippincott
Lippincott Williams & Wilkins; Published: 2009-10-21; Paperback; Book
Best price: $35.39
Price in other shops: $56.95