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PBL Information Resources and Tools for the First Year: Case 5: Cardiovascular Block - Ronny Quint - Ironman

This guide provides resources and strategies for finding background, clinical and drug information, including evidence-based medicine strategies and specific information for problem-based learning exercises.

Textbooks

The following are textbooks of possible interest and are available either in print or online.  To find more books of interest, use the search box below. 

Not Finding What You Need? Just Ask:

Not finding what you need?  Having trouble using one of our resources?  Please let us know.

Ask Karen - you can reach me at 858-534-1199 or at kheskett@ucsd.edu

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Ronny Quint - Ironman

  Not sure where to start?  The first step is to understand what your question is -- try writing it out.  What are the aspects of this question that you will search?  Go to resources most likely to have the information you need.  Is it a clinical or a general or background understanding that you seek? Are you looking to find the best diagnostic tool for the patient or perhaps you have a treatment related question?

Resources for this case include:

Textbook Suggestions (look left)

Resource Highlight -- Point of Care Tools

Wiggers Resources

Dr. Gates DDX & Symptom Checker Tip

Cardiac Exam & Sounds

National Organizations & Guidelines

PubMed Search Tips -- Search the Title field

Patient Information Resources -- Great for easy to understand images

Resources for Dealing with Unprofessional Behavior

 

Resource Highlight

Point of Care Tools

These types of resources are designed to be easy to use in the busy clinic, hospital, or doctor's office.  Each one has different strenghts and weaknesses.  Become familiar with all of them so you can quickly find the information you need and also make informed choices about which ones to use to take advantage of their strength.

Wiggers & Cardiac Catheterization Resources

Wiggers & Cardiac Catheterization Resources

It is important for everyone to understand Wiggers this week.  I found a couple of interesting animations below - check it out.  For this topic, the point of care resources like Up To Date may not have the information you need - this is more of a background type of question, so best resources will be textbooks.  I think our best resource is a print book - so don't be afraid to come look at it (Cardiovascular physiology : a clinical approach, ch. 4. Use call number WG 102 C258 1988)

Also, your lecture notes will be very helpful for this.  If you use them, reference them, and if you need help creating that citation, check out the Cite it Right page. 

Cardiac Exams & Sounds

Cardiac Exams & Sounds

Many of your questions this week are best answered in some of our textbooks, your course texts or even your course notes.  In addition to the ones along the left side of the page or below, we have a unique video journal called Jove Science Education that has 3 videos on the cardiac exam - including abnormal sounds.  

 

Art & Science of Cardiac Phys. Exam

The art and science of cardiac physical examination: Everything you wanted to know.  See  WG 141 R196 2006 or online version.

 

Auscultation skills text

Auscultation skills : breath & heart sounds: In print only, but supplemental CD is available - check it out. See WF 39 A932 2006.
 

 

DeGowin's Diagnostic Examination

DeGowin's Diagnostic Examination:  Provides great detail on how to conducted an exam including listening to and grading murmurs.  See WB 200 D3194 2009 or online version.


Jove Cardiac exam 1

JOVE Cardiac Exam I: Inspection & Palpatation 
A video explaining how to do a cardiac exam which includes more than just listening through the stethoscope.

 

Jove Cardiac Exam 2  Auscultation

JOVE Cardiac Exam II:  Auscultation 
Step by step guidance on the process and placement of the stethoscope.
 

 

Jove Cardiac Exam 3

JOVE Cardiac Exam III: Abnormal Heart Sounds 

Reviews several different abnormal sounds and may be a little more advanced than you need for this case. These videos also have a transcript under the video so you can quickly scan for the part of the video that might be most helpful.

National & State Organizations

PubMed Search Tips

Searching PubMed

A searching tip I use often is "Think like an author" meaning what terms of your search would be important enough to be in the title?


Perhaps your question this week is to know more about echocardiogram (or echocardiography) and ejection fraction and you want to see the latest literature on this topic.  A simple keyword search in PubMed with these two terms will give you too many articles to really go through (over15,000).  How can you narrow things down a little?

Tell PubMed that echocardiogram should be in the title of the the articles it retrieves.  This is called field searching and can help focus your results down to an interesting (and much shorter) list of articles to review.  For a more encompassing search, use truncation of echocardiogra* so you get variations on this term.  You have two options to do this

1)  Specify in the search box the field to search.  You do that by adding [title] at the end of a search term - perhaps, echocardiogram - like this:  echocardiogra*[title] and ejection fraction[title].

2)  Instead of typing in [title], you can use the Advanced Search form and specify the field on the drop-down boxes.  Look for the "Advanced" link right under the search box.
screenshot of pubmed advanced page with title search

Resources for Dealing with Unprofessional Behavior

Many of you will have discussed this somewhat already in your groups, but if you need to expand on the topic, here are some thoughts on how to do that.

Patient & Family Resources