Bedside science reduces laboratory art: Appropriate use of physical findings to reduce reliance on sophisticated and expensive methods

Circulation

Volumn 91, Issue 7, 1995, Pages 2089-2092

  Zoneraich, Samuel ^a   Spodick, David H ^a  

^a NONE

Author keywords

[No Author keywords available]

Indexed keywords

CARDIOVASCULAR DISEASE; CLINICAL MEDICINE; ECHOGRAPHY; ELECTROCARDIOGRAM; HEART MURMUR; HUMAN; LABORATORY DIAGNOSIS; NUCLEAR MAGNETIC RESONANCE IMAGING; PHYSICAL EXAMINATION; PRIORITY JOURNAL; REVIEW; THORAX RADIOGRAPHY;

EID: 0028944647     PISSN: 00097322     EISSN: None     Source Type: Journal    
DOI: 10.1161/01.CIR.91.7.2089     Document Type: Review

References (39)

1. Goldman L, Saison R, Robbins S, Cohn LM, Bettmam M, Weisberg M. The value of the autopsy in 3 medical eras. N Engl J Med. 1983;308:1000-1005.
2. Mangione S, Nieman LZ, Gracely E, Kaye D. The teaching and practice of cardiac auscultation during internal medicine and cardiology training: a nationwide survey. Ann Intern Med. 1993;119:47-54.
3. Mangione S, Peitzman SJ, Gracely E, Nieman LZ. Creation and assessment of a structured review course in physical diagnosis of medical residents. J Gen Intern Med. 1994;9:213-218.
4. Mangione S, Fiel SB. Lung auscultation among physicians in training: a lost art? Chest. 1994;106:855. Abstract.
5. Mangione S, Gracely E, Nieman LZ. Chest auscultation during internal medicine and family medicine training. Chest. 1994; 106:92S. Abstract.
6. Brandau D, LDO Heun L. Effect of clerkship training at rural sites on students' clinical skills. Acad Med. 1994;69:691. Abstract.
7. Garibaldi RA, Trontell MC, Waxman H, Holbrook JH, Kanya TD, Khoshbin S, Thompson J, Casey M, Subhiyah RG, Davidoff F. The In-Training Examination in Internal Medicine. Ann Intern Med. 1994;121:117-123.
8. Schwartz TB. Ask, and it shall be given you. Ann Intern Med. 1994;121:376. Abstract.
9. St Clair EW, Oddone EZ, Waugh RA, Corey GR, Feussner JR. Assessing housestaff diagnostic skills using a cardiology patient simulator. Ann Intern Med. 1992;117:751-756.
10. Johnson JE, Carpenter JL. Medical housestaff performance in physical examination. Arch Intern Med. 1986;146:937-941.
11. Li JTC. Assessment of basic physical examination skills of internal medicine residents. Acad Med. 1994;69:296-299.
12. Zoneraich S. Noninvasive Methods in Cardiology. Springfield, Ill: C.C. Thomas Publishers; 1985;1-2.
13. Zoneraich S. Historical study: William Dock as I knew him. Am J Cardiol. 1986;57:467-470.
14. White PD. Heart Disease. New York, NY: Macmillan Publishing Co Inc; 1931:4,9.
15. Hurst JW, Crawley SI, Morris DC, Dorney ER. The history: symptoms and past events related to cardiovscular disease. In: Hurst JW, Schlant RS, eds. The Heart. New York, NY: McGraw Hill Publishing Co; 1990:122-134.
16. Grupper LD, Woolliscroft JO, Wolf FM. The contribution of different components of clinical encounter in generating and eliminating diagnostic hypotheses. In: Dabney DS, compiler. Proceedings of the 27th Annual Conference on Research in Medical Education. Washington, DC: Association of American Medical Colleges; 1989:242-247.
17. Schultz R. Advanced cardiac insufficiency, a frequent complication of diabetes mellitus, requiring attention. Berliner Klin Wochenschr. 1876;6:4-5.
18. Harvey WP. Cardiac Pearls. Newton, NJ: Laennec Publishers; 1993:325-326.
19. Laennec RTH. Traite de l'auscultation mediate. Paris, France: Brosson Publishing; 1826.
20. McLaren MJ, Markowitz M, Gerber MA. Rheumatic heart disease in developing countries: the consequence of inadequate prevention. Ann Intern Med. 1994;120:243-245.
21. Litchstein E, Hager WD, Gregory JJ, Fleiss JL, Rolnitzky LM, Bigger JT Jr. Multicenter diltiazem post-infarction research group. J Am Coll Cardiol. 1990;16:1327-1332.
22. 4, by modern technology. J Am Coll Cardiol. 1992;19:458-459. Editorial.
23. Zoneraich S, Zoneraich O. Value of auscultation and phonoarteriography in detecting early atherosclerotic changes of the abdominal aorta and its branches. Am Heart J. 1972;83:620-629.
24. Sauve SJ, Thorpe M, Math KE, Sackett DL, Taylor W, Barnett HJM, Haynes RB, Fox AJ. Can bruits distinguish high-grade from moderate symptomatic carotid stenosis? Ann Intern Med. 1994;120:633-637.
25. Zoneraich S, Zoneraich O. Auscultation and graphic recording over arteries: phonoarteriography. In Zoneraich S, ed. Noninvasive Methods in Cardiology. Springfield, Ill: C.C. Thomas Publishers; 1974:128-151.
26. DeMaria AN, Smith MD, Harrison MR. Clinical significance of in vitro and in vivo experimental findings regarding Doppler flow velocity recordings. J Am Coll Cardiol. 1989;13:1682-1685.
27. Houston AB. Doppler ultrasound and the apparently normal heart. Br Heart J. 1993;69:99-100. Editorial.
28. Miyatake K, Izumi S, Okamoto M, Kinoshita N, Asonuma H, Nakagawa H, Yamamoto K, Takamiya M, Sakakibara H, Nimuia Y. Semiquantitative grading of severity of mitral regurgitation by real-time two-dimensional Doppler flow imaging technique. J Am Coll Cardiol. 1986;7:82-88.
29. Fujita N, Chazouilleres AF, Hartiala JJ, O'Sullivan M, Heidenreich P, Kaplan JD, Sakuma H, Foster E, Caputo GR, Higgins CB. Quantification of mitral regurgitation by velocity-encoded cine nuclear magnetic resonance imaging. J Am Coll Cardiol. 1994;23:951-958.
30. Fish C. Evaluation of the clinical ECG. J Am Coll Cardiol. 1989;14:1127-1138.
31. Zoneraich S, Zoneraich O, Rhee JJ. Echocardiographic findings in atrial flutter. Circulation. 1975;52:455-459.
32. American College of Cardiology Tenth Bethesda Conference. Optimal electrocardiography. Am J Cardiol. 1978;41:111-191.
33. Lehmann MH, Suzuki F, Fromm SB, Frankovich D, Elko P, Steinman RT, Fresard J, Baga JJ, Taggart TR. T wave "Humps" as a potential electrocardiographic marker of the long QT syndrome. J Am Coll Cardiol. 1994;24:746-754.
34. Philip BO, Hammill SC, Talano JV. Effect of definition on incidence of postinfarction pericarditis: is it time to redefine postinfarction pericarditis? Circulation. 1994;90(suppl III):III-1538-1II-1541.
35. Uretsky BF, Young JB, Shahidi EF, Yellen LG, Harrison MC, Jolly MK. Randomized study assessing the effect of digoxin withdrawal in patients with mild to moderate chronic congestive heart failure: results of the PROVED trial. J Am Coll Cardiol. 1993;22:955-962.
36. Guyatt GH, Sullivan MJJ, Fallen EL. A controlled trial of digoxin in congestive heart failure. Am J Cardiol. 1988;61:371-375.
37. Grossman W. Diastolic dysfunction and congestive heart failure. Circulation. 1990;81(suppl III):III-1-III-7.
38. Gottlieb S, Moss AJ, McDermott M, Eberly S. Interrelation of left ventricular ejection fraction, pulmonary congestion and outcome in acute myocardial infarction. Am J Cardiol. 1992;69:977-984.
39. Gunnar RM, Williams RG. Excerpt from conference program. J Am Coll Cardiol. 1994;24:275-328.