Thursday, December 17, 2009

I can't hear that?!

A lot of people say CVS station is easy. I don't think so. I don't think I have good ears to hear the murmurs. But then again, most senior people will say, "It's not about auscultation only. most diagnoses can be made even before putting your stethoscope". To me, that is a bit dangerous! Because, if you already have an idea what the diagnosis is, you may not be prepared for the unexpected ones! And of course... you will be a bit bias.. hearing something that is not there. Whatever it is, DO NOT CREATE SIGNS. Just tell them what you think. You may still get some marks for the honesty, and in maintaining patient welfare and clinical judgement.

Some find listening murmurs only helpful.. kind of train your ears to listen to all sorts of murmurs. Try these sites:

1. Heart Sounds and Murmurs - Texas Heart Institute
http://www.texasheart.org/education/cme/explore/events/eventdetail_5469.cfm

2. The Auscultation Assistant - Hear heart murmurs, heart sounds and breath sounds
http://www.wilkes.med.ucla.edu/intro.html

3. Merck Manual Professional
http://www.merck.com/mmpe/sec07/ch076/ch076a.html

4. Cardiology Site
http://www.cardiologysite.com/index.html

However, nothing beats real patients! So, grab your chance to go to INR clinic at your centre.

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