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The Radiology of Emergency Medicine, 4th Edition
bookshelf Those readers of CHEST interested in serving as reviewers for “The Bookshelf” are asked to notify the department editor, Lee K. Brown, MD, FCCP, at the following address: New Mexico Center for Sleep Medicine, Lovelace Health Systems, 4700 Jefferson Blvd. NE, Suite 800, Albuquerque, NM 87109. Please indicate your field(s) of expertise (pulmonary, cardiology, cardiothoracic surgery, critical care, or sleep), and include your curriculum vitae if available. In appreciation for completed reviews, authors may retain the book or software for their own use.
Secrets Heart and Lung Sounds Workshop (Audio CD) By Salvatore Mangione, MD. Philadelphia, PA: Hanley & Belfus, Inc, 2000; Manual, 38 pp; CD total running time, 75:58; $19.95 Is that a rhonchus or a crackle? How are wheezes produced? Is that murmur pathologic? These are some of the questions that the user will be able to answer after listening to the audio CD Secrets Heart and Lung Sounds Workshop and studying the companion manual. Dr. Salvatore Mangione is the creator and narrator of this effective learning tool, consisting mainly of an audio CD divided into two general sections. The first section runs 72 min, and it covers heart and lung sounds accompanied by an explanatory narrative. To facilitate review, the second section consists of four minutes of the same sounds, in the same order as previously presented, but this time without the narrative. The manual includes a list of the sounds being discussed on each track with written explanatory material. Each sound is first reproduced (the audio quality is excellent) and then is followed by a discussion of how the physical finding in question is best detected. The applicable physiology or pathophysiology and the clinical setting in which the sound may be heard are explained, all the while repeating the sound at intervals to facilitate learning. The narrative is easily followed and has a logical order in presenting the material. Dr. Mangione also covers areas that can be confusing to the budding clinician, such as the reasoning behind the use of the term crackles instead of rales to describe those adventitious sounds, and provides full coverage of other sounds, including the less familiar squawk or squeak. The common abnormal cardiac sounds are covered, including murmurs from aortic and mitral regurgitation and stenosis, S3 and S4 gallops, midsystolic clicks, and pericardial friction rubs. The written narrative in the manual accompanying the CD follows the audio discussion closely. The figures and sound tracings effectively assist the reader in understanding the material. However, for the portion of the manual covering heart sounds, a few additional figures showing the cardiac cycle mechanics would have been helpful. Dr. Mangione begins Secrets Heart and Lung Sounds Workshop with the statement “Auscultation of the chest is a very difficult art.” Periodic review of this difficult art can be useful for all physicians, both specialists and generalists, and Dr. Mangione has created an exceptionally useful and engaging tool to accomplish this task. Most users will probably review the CD in sections rather than in a single session, while new students of auscultation will benefit from a shorter and simpler overview before embarking on listening to Dr. Mangione’s CD in depth. It should also be 658
noted that Secrets Heart and Lung Sounds Workshop can be used in combination with the textbook by the same publisher, Physical Diagnosis Secrets. David S. James, MD, FCCP Albuquerque, NM
The Radiology of Emergency Medicine, 4th Edition By John H. Harris Jr., MD, and William H. Harris, MD, eds. Philadelphia, PA: Lippincott Williams & Wilkins, 2000; 958 pp; $189.00 The fourth edition of John H. Harris’ book, The Radiology of Emergency Medicine, is truly a classic radiology text. It has been the definitive literary reference for the subspecialty of emergency radiology, which seems to have an ever-expanding role in the management of emergency department patients. From the perspective of radiologists, it would seem that very few patients get through the doors of an emergency department these days without some type of imaging study. In this day of high-tech tests, the fourth edition still places a somewhat refreshing emphasis on conventional radiography. I believe this is important, as conventional radiography still constitutes about 80% of emergency radiology imaging studies. With that said, the book has done a very good job in keeping pace with the newer imaging modalities of CT scanning, MRI, and ultrasound. For readers of CHEST, I specifically concentrated on the 144-page chapter on thoracic radiology. This includes extensive discussions of traumatic and nontraumatic conditions, with excellent sections on inflammatory processes and congestive heart failure. There are excellent discussions on the diagnosis of pulmonary embolism, including the role of CT pulmonary angiography, aortic dissection (CT scanning and MRI), and acute traumatic aortic injury (CT scanning). The text of the book is well-written, organized, and referenced (226 cited references for the “Chest” chapter). I very much appreciated Harris’ practical approach to the subject matter, and his many years of clinical experience are quite apparent in this book. Dr. Harris has authored most of the chapters, with excellent ones on neuroradiology written by Dr. Mauricio Castello, abdominal CT scanning written by Dr. Clark West, and obstetrics/gynecology and scrotal ultrasound written by Dr. Robert Harris, the author’s son, who is also now included as an editor. The book is beautifully illustrated, with numerous excellent reproductions of radiographs and other imaging modalities, along with high-quality schematic diagrams. I found that the algorithms and tables complemented the text and illustrations quite well without being overutilized. As a practicing radiologist, this would be the one reference I would choose to help me with the interpretation of emergency radiology studies. The Radiology of Emergency Medicine is a text that belongs in every radiology department library, and probably every emergency medicine department. For the individual pulmonary specialist, the content of the text may be too broad to warrant having it in one’s personal library. However, I believe it would definitely be a worthwhile addition to the library of any pulmonary medicine department. Bruce Turlington, MD Albuquerque, NM Bookshelf
Secrets Heart and Lung Sounds Workshop (Audio CD) By Salvatore Mangione, MD. Philadelphia, PA: Hanley & Belfus, Inc, 2000; Manual, 38 pp; CD total running time, 75:58; $19.95 Is that a rhonchus or a crackle? How are wheezes produced? Is that murmur pathologic? These are some of the questions that the user will be able to answer after listening to the audio CD Secrets Heart and Lung Sounds Workshop and studying the companion manual. Dr. Salvatore Mangione is the creator and narrator of this effective learning tool, consisting mainly of an audio CD divided into two general sections. The first section runs 72 min, and it covers heart and lung sounds accompanied by an explanatory narrative. To facilitate review, the second section consists of four minutes of the same sounds, in the same order as previously presented, but this time without the narrative. The manual includes a list of the sounds being discussed on each track with written explanatory material. Each sound is first reproduced (the audio quality is excellent) and then is followed by a discussion of how the physical finding in question is best detected. The applicable physiology or pathophysiology and the clinical setting in which the sound may be heard are explained, all the while repeating the sound at intervals to facilitate learning. The narrative is easily followed and has a logical order in presenting the material. Dr. Mangione also covers areas that can be confusing to the budding clinician, such as the reasoning behind the use of the term crackles instead of rales to describe those adventitious sounds, and provides full coverage of other sounds, including the less familiar squawk or squeak. The common abnormal cardiac sounds are covered, including murmurs from aortic and mitral regurgitation and stenosis, S3 and S4 gallops, midsystolic clicks, and pericardial friction rubs. The written narrative in the manual accompanying the CD follows the audio discussion closely. The figures and sound tracings effectively assist the reader in understanding the material. However, for the portion of the manual covering heart sounds, a few additional figures showing the cardiac cycle mechanics would have been helpful. Dr. Mangione begins Secrets Heart and Lung Sounds Workshop with the statement “Auscultation of the chest is a very difficult art.” Periodic review of this difficult art can be useful for all physicians, both specialists and generalists, and Dr. Mangione has created an exceptionally useful and engaging tool to accomplish this task. Most users will probably review the CD in sections rather than in a single session, while new students of auscultation will benefit from a shorter and simpler overview before embarking on listening to Dr. Mangione’s CD in depth. It should also be 658
noted that Secrets Heart and Lung Sounds Workshop can be used in combination with the textbook by the same publisher, Physical Diagnosis Secrets. David S. James, MD, FCCP Albuquerque, NM
The Radiology of Emergency Medicine, 4th Edition By John H. Harris Jr., MD, and William H. Harris, MD, eds. Philadelphia, PA: Lippincott Williams & Wilkins, 2000; 958 pp; $189.00 The fourth edition of John H. Harris’ book, The Radiology of Emergency Medicine, is truly a classic radiology text. It has been the definitive literary reference for the subspecialty of emergency radiology, which seems to have an ever-expanding role in the management of emergency department patients. From the perspective of radiologists, it would seem that very few patients get through the doors of an emergency department these days without some type of imaging study. In this day of high-tech tests, the fourth edition still places a somewhat refreshing emphasis on conventional radiography. I believe this is important, as conventional radiography still constitutes about 80% of emergency radiology imaging studies. With that said, the book has done a very good job in keeping pace with the newer imaging modalities of CT scanning, MRI, and ultrasound. For readers of CHEST, I specifically concentrated on the 144-page chapter on thoracic radiology. This includes extensive discussions of traumatic and nontraumatic conditions, with excellent sections on inflammatory processes and congestive heart failure. There are excellent discussions on the diagnosis of pulmonary embolism, including the role of CT pulmonary angiography, aortic dissection (CT scanning and MRI), and acute traumatic aortic injury (CT scanning). The text of the book is well-written, organized, and referenced (226 cited references for the “Chest” chapter). I very much appreciated Harris’ practical approach to the subject matter, and his many years of clinical experience are quite apparent in this book. Dr. Harris has authored most of the chapters, with excellent ones on neuroradiology written by Dr. Mauricio Castello, abdominal CT scanning written by Dr. Clark West, and obstetrics/gynecology and scrotal ultrasound written by Dr. Robert Harris, the author’s son, who is also now included as an editor. The book is beautifully illustrated, with numerous excellent reproductions of radiographs and other imaging modalities, along with high-quality schematic diagrams. I found that the algorithms and tables complemented the text and illustrations quite well without being overutilized. As a practicing radiologist, this would be the one reference I would choose to help me with the interpretation of emergency radiology studies. The Radiology of Emergency Medicine is a text that belongs in every radiology department library, and probably every emergency medicine department. For the individual pulmonary specialist, the content of the text may be too broad to warrant having it in one’s personal library. However, I believe it would definitely be a worthwhile addition to the library of any pulmonary medicine department. Bruce Turlington, MD Albuquerque, NM Bookshelf