Many pediatricians and family practice physicians are intimidated by heart disease in infants, children, and adolescents. This may result from the perception that learning so many types of congenital heart defects and diseases may appear to be an insurmountable task. In addition becoming an expert in auscultation of the heart does require considerable experience, and it is easy to become frustrated when one is unable to make an anatomic diagnosis on the basis of physical examination. This is unfortunate because it is often difficult even for experts and frequently unnecessary to make an anatomical diagnosis on the basis of physical examination alone. Rather, it is important to determine whether the patient (i) does or does not have congenital heart disease, (ii) has cyanotic or acyanotic heart disease, (iii) has heart failure or pulmonary overcirculation (too much pulmonary blood flow), (iv) has reduced cardiac output, or (v) requires urgent detailed evaluation and treatment. I hope this book will facilitate all primary care physicians who care for infants and children to make these distinctions. [download]
Format : Ebook.Chm
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