LibGuides: PBL Information Resources and Tools for the First Year: Case 7: Cardiovascular Block -- Gloria Hernandez

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 above and to the right. Change the drop-down option from "This Guide" to Catalog.

Hurst's the heart by Valentin Fuster, et al.
Call Number: WG 120 H966 2008
ISBN: 0071478868
A key resource providing normal physiology and functional anatomy of the heart and many more topics. Find it in print or online.
Communication in Medical Care by John Heritage, et al.
Call Number: W 62 C7343 2006
Publication Date: 2006
In Print only. Provides a discussion of communication between doctors and patients in primary care consultations, and describes the dilemmas and conflicts faced by physicians and patients as they work through the visit.

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

Ask a Librarian - check out all the ways to reach one of us at the Biomed Library

Ask a UC Librarian - for those late night hour questions, chat with a UC Librarian 24/7

Extra Thoughts

Just a couple of last things for this case that don't fit elsewhere.

Google search for sodium or nutrition info
A simple Google search - sodium in food item - will get you good info. You can also add to your search reliable sources such as My Fitness Pal or Livestrong to see what they have for you.
SmartPhone or iPad Apps
Sometimes the best tool is a handy app. Check iTunes or Play Store for suggestions or use this link to find reviews of free apps.
LoseIt! -- Dr. Marsh's suggestion

Cardiac Exams & Sounds

Many of your questions this week are best answered in some of our textbooks and your course texts. Look along the left side of the page and below for possible online and print books that might help you find your answers. If you didn't look at them last week, maybe this week?

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

Resources for this case include:

Textbook Suggestions (look left)

Drug Resources -- US & International Drugs and Alternative Medicine

National or State Organizations

PubMed Search Tip - Culturally Competent Care

Video & Multimedia Resources

Life-long Resources -- Guidelines

Patient Resouces - Spanish Language Materials & Up to Date

Extras - An interesting web site, a Google search tip, & apps

US & International Drugs

UCSD has several drug resources for looking up drug interactions, drugs appropriate for specific conditions, and specific details about an individual drug or a class of drugs. See the full list on the Drug Info tab.

Martindale: the complete drug reference (Print)
Described as a multilingual pharmaceutical term reference tool. Find it on the reference shelf at call number QV 738 FA1 M384e but you will also find this information in Micromedex.
Micromedex
Find all sorts of info on drugs as well as health conditions.
Natural Medicines
For questions about herbal supplements or alternative therapy drugs, try this resource.
National Center for Compimentary and Alternative Medicine
The National Center for Complementary and Integrative Medicine (NCCIM) is the Federal Government's lead agency for scientific research on the diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine.

National & State Organizations

National Organizations

American Heart Association
Local organizations and national guidelines - most recent are CPR guidelines. It has consumer-related information and activities, advocacy events, and are research focused.
National Heart, Lung, & Blood Institute (NIH)
This is the government organization for all things related to the heart. It has a wealth of information for health professionals, including clinical practice guidelines, as well as great information for the consumer.

PubMed Search Tip

Searching PubMed

Understanding - it is not just about language. Yes, knowing the patient's history is vital, and making sure the patient is told about what is happening and what they need to do for their health is also critical. However, to really understand a patient from another culture takes more than language skills, it requires some understanding of that culture.

If you search for articles, depending upon your search terms, you will get a variety of results. For example,

Is there a difference between the terms culturally competent care or culturally competent treatment?
- Or, do they mean the same thing?
- Authors use both terms - maybe you need to use both?
How do you get to the literature for latinos?
- What do authors use to describe this group of patients?
- PubMed Tip: There is a MeSH term for hispanics or Mexican Americans but sometimes it is just easier to type these synonymous terms including parentheses:
  (hispanics OR latinos)
- Try one of the following (or put both in the search box with parentheses)
  culturally competent care, or
  culturally competent treatment

PubMed

Multimedia

Videos and Multimedia Resources

I have quite a few for you this week. Some are basic and others a little more advanced.

Pulmonary-Artery Catheterization from NEJM
Dr. Goldberg's Practical Guide to Medicine: the Heart
JOVE Clinical Skills: Cardiac Exam I
Inspection & Palpation
JOVE Clinical Skills: Cardiac Exam II
Auscultation
JOVE Clinical Skills: Cardiac Exam III
Abnormal heart sounds
Understanding the Pressure Volume Loop
Explained by Rishi Desai, M.D. at Khan Academy
Drawing a Pressure Volume Loop
Explained by Rishi Desai, M.D. at Khan Academy
Access Medicine: Auscultation Classroom
Most from Harrison's animations
Access Medicine: Jugulovenous Pulsations
The Atlas of Emergency Medicine, 5e
Auscultation Assistant
Check out all of their sounds. Crackles can be found under the "Lung" tab. From UCLA.

Life-long Resources -- Guidelines

Finding Guidelines

The following resources are available to everyone without a subscription and for the most part have been developed with government funding. These tools will be available to you even when you graduate and move on from UCSD.

Trip Database: Finding Guidelines
In addition to finding articles, including sustematic reviews, and Cochrane Library resources, you can use TRIP to find clinical guidelines. It also let's you search across multiple resources all at once.
Simply enter your search terms and look along the right to find the filter for Guidelines - you can then focus to US or specific US organizations.

Patient Resources -- Including Spanish-Language Resources

MedlinePlus in Espanol
To switch to the Spanish-language site, find the Expanol link under the search box. See what info they have about sodium.
Up to Date - patient information about reduced salt diets
Don't forget that many of our point of care tools, Up to Date being one, have patient appropriate resources that can be printed and shared with the patient.