Writing the Pulse

Writing the Pulse
Author: Sandra W. Moss MA MD
Publisher: Xlibris Corporation
Total Pages: 322
Release: 2018-03-26
Genre: Medical
ISBN: 1543463592

The sphygmograph was one of the promising instruments of precision that captured the imagination of mid- and late-nineteenth-century physicians eager to plumb the secrets of the circulatory system. Literally a pulse writer, the sphygmograph allowed physicians to study a permanent record (sphygmogram) of the contours and rhythms of the pulse wave. The early masters of the sphygmograph were hopeful that images of the pulse at the wrist could reveal much about the action of the heart and major blood vessels that would prove useful in research and practice. Although the sphygmograph proved to be a frustrating instrument and its pulse recordings confusing, it prepared early twentieth-century physicians to embrace more reliable technologies, such as the sphygmomanometer (blood pressure cuff) and the electrocardiograph. This book traces the European invention, development, and application of the sphygmograph before turning to a detailed study of the novel instruments and clinical investigations of three heretofore unremarked American sphygmograph men and the role of the sphygmograph in American medical practice, most notably in the hands of Dr. Mary Putnam Jacobi. A final chapter examines the pervasive problems of the sphygmograph in the context of recent literature on apparent failures of technology.

Evidence-Based Physical Diagnosis E-Book

Evidence-Based Physical Diagnosis E-Book
Author: Steven McGee
Publisher: Elsevier Health Sciences
Total Pages: 876
Release: 2012-03-19
Genre: Medical
ISBN: 1455723118

Evidence-Based Physical Diagnosis helps you choose the diagnostic approaches that have been proven most effective! Dr. Steven McGee puts the most current evidence at your fingertips, equipping you to easily select the best test for diagnosing a given condition and understand the diagnostic significance and accuracy of your findings. A remarkably easy-to-reference organization makes it simple to find the answers you need. Quickly review the history, pathogenesis, examination technique, and interpretation of physical findings for all areas of the body thanks to a very reader-friendly outline format, including more than 90 "EBM boxes" and accompanying "EBM ruler" illustrations. Get expert advice from Dr. Steven McGee, an internationally respected authority in physical examination and assessment, pain management, and education in general internal medicine. See exactly which studies document the significance of various findings thanks to thousands of up-to-date references. Apply the latest knowledge on hot topics such as the value of physical examination in taking care of the ICU patient, accurately diagnosing the etiology of systolic murmurs, diagnosing osteoarthritis and acute vertigo in the dizzy patient, diagnosing hemorrhagic stroke, and diagnosing pleural effusions. Implement the most current evidence-based approaches for evaluating stance and gait, Schamroth’s sign (for clubbing), dementia, prediction of falls, hepatopulmonary syndrome, atrial fibrillation, relative bradycardia, tourniquet test (for dengue infections), acute stroke, and pleural effusion. Assess the pretest probability of disease, given particular signs or symptoms, with new at-a-glance tables. Make effective decisions thanks to updated content throughout, including new EBM boxes covering over 250 recent studies on physical diagnosis—ensuring that all diagnostic information (i.e., sensitivity, specificity, and likelihood ratios) is up to date.

Matters of the Heart

Matters of the Heart
Author: Fay Bound Alberti
Publisher: OUP Oxford
Total Pages: 240
Release: 2010-01-14
Genre: History
ISBN: 019160917X

The heart is the most symbolic organ of the human body. Across cultures it is seen as the site of emotions, as well as the origin of life. We feel emotions in the heart, from the heart-stopping sensation of romantic love to the crushing sensation of despair. And yet since the nineteenth century the heart has been redefined in medical terms as a pump, an organ responsible for the circulation of the blood. Emotions have been removed from the heart as an active site of influence and towards the brain. It is the brain that is the organ most commonly associated with emotion in the modern West. So why, then, do the emotional meanings of the heart linger? Why do many transplantation patients believe that the heart, for instance, can transmit memories and emotions and why do we still refer to emotions as 'heartfelt'? We cannot answer these questions without reference to the history of the heart as both physical organ and emotional symbol. Matters of the Heart traces the ways emotions have been understood between the seventeenth and nineteenth centuries as both physical entities and spiritual experiences. With reference to historical interpretations of such key concepts as gender, emotion, subjectivity and the self, it also addresses the shifting relationship from heart to brain as competing centres of emotion in the West..

Not Just Any Medical School

Not Just Any Medical School
Author: Horace Willard Davenport
Publisher: University of Michigan Press
Total Pages: 420
Release: 1999
Genre: History
ISBN: 9780472110766

Presents a fascinating view of medical education at the University of Michigan supplemented with rare photographs

Diagnosis and Management of Adult Congenital Heart Disease E-Book

Diagnosis and Management of Adult Congenital Heart Disease E-Book
Author: Michael A. Gatzoulis
Publisher: Elsevier Health Sciences
Total Pages: 527
Release: 2010-10-13
Genre: Medical
ISBN: 1455710016

Diagnosis and Management of Adult Congenital Heart Disease, by Drs. Gatzoulis, Webb, and Daubeney, is a practical, one-stop resource designed to help you manage the unique challenges of treating long-term adult survivors of congenital heart disease. Authored by internationally known leaders in the field, this edition is the first that truly integrates anatomy and imaging technology into clinical practice, and includes new chapters on cardiac CT for ACHD assessment, critical and perioperative care, anesthesia for ACHD surgery, cardiac resynchronization therapy, and transition of care. Congenital defects are presented with high-quality illustrations and appropriate imaging modalities. Find all the information you need in one user-friendly resource that integrates anatomy, clinical signs, and therapeutic options. Confidently make decisions aided by specific recommendations about the benefits and risks of surgeries, catheter interventions, and drug therapy for difficult clinical problems. Recognize and diagnose morphologic disorders with the help of detailed, full-color diagrams. Quickly find what you need thanks to easily accessible, consistently organized chapters and key annotated references. Keep pace with the latest advancements including five new chapters on cardiac CT for ACHD assessment, critical and perioperative care, anaesthesia for ACHD surgery, cardiac resynchronisation therapy, and transition of care Comply with the latest European Society of Cardiology (ESC) and American College of Cardiology (ACC) practice guidelines - integrated throughout the book - for cardiac pacing and cardiac resynchronisation therapy See imaging findings as they appear in practice and discern subtle nuances thanks to new, high-quality images and illustrations Integrates anatomy, clinical signs and therapeutic options of congenital heart disease both in print and online!