Cardiology Secrets 5th edition (2018) Ebook PDF download

Cardiology Secrets 5th edition - 2018
Cardiology Secrets 5th edition – 2018

Hi Finally you can download the Cardiology Secrets 5th edition (2018) Ebook download , this book is specially for USMLE Preparators to make their Step 2 CK more easier with so  many scrects in the CARDIOLOGY speciality ..hopefully this book will help you with your Examination Boards.

Cardiology Secrets 5th edition – 2018 Some secrets

  • Shortness of breath, or dyspnea, is a painless but uncomfortable awareness of breathing that is inappropriate to the level of exertion.
  • Thoroughly assess this telltale symptom of cardiac and pulmonary disease. Ask, “Have you had any difficulty breathing?”
  • Find out if the symptom occurs at rest or with exertion, and how much exertion produces onset.
  • Because of variations in age, body weight, and physical fitness, there is no absolute scale for quantifying shortness of breath.
  • Instead, make every effort to determine its severity based on the patient’s daily activities.

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How many steps or flights of stairs can the patient climb before pausing for breath? What about carrying bags of groceries, vacuuming, or making the bed? Has shortness of breath altered the patient’s lifestyle and daily activities? How? Carefully elicit the timing and setting, any associated symptoms, and relieving or aggravating factors. Most patients relate shortness of breath to their level of activity. Anxious patients present a different picture.

They may describe difficulty taking a deep enough breath, a smothering sensation with inability to get enough air, and paresthesias, which are sensations of tingling or “pins and needles” around the lips or in the extremities.

Wheezes are musical respiratory sounds that may be audible to the patient and to others.

Cough. Cough is a common symptom that ranges in significance from trivial to ominous. Typically, cough is a reflex response to stimuli that irritate receptors in the larynx, trachea, or large bronchi.

These stimuli include mucus, pus, blood, as well as external agents such as allergens, dust, foreign bodies, or even extremely hot or cold air.

Other causes include inflammation of the respiratory mucosa, pneumonia, pulmonary edema, and compression of the bronchi or bronchioles from a tumor or enlarged peribronchial lymph nodes.

Cardiology Secrets 5th edition (2018) Ebook PDF download