Lectures

Diagnostics I - The Patient's History

by Joseph Alpert, MD
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    Welcome back! This is the third part in the “Cardiology: An Introduction” series. I would like to repeat what I said in an earlier lecture and that is, we are going to be covering a huge amount of material in a very short time. I don’t expect that you will become an expert in Cardiology from watching this series and I strongly recommend that if you have a deep and abiding interest in this area, that you follow up with reading in one of the references at the end of the lectures or in one of the standard textbooks of Cardiology. So, today we are going to talk about the history of the patient, the physical examination and the electrocardiogram - the three basic steps in making a cardiovascular diagnosis. Let’s start with the history. The history is the most important factor in making a diagnosis of heart or vascular disease. The patient has to tell us their chief complaint, in other words, why they came to see us as a Cardiologist. And then we follow that up with more detailed information about all the symptoms that they are having as well as look at their family history and their past history. If you don’t have the answer for the diagnosis by the time you are finished with the history, you are really already in trouble since 90% of the diagnostic information is in the history. Physical exam and the laboratory data are really used for confirmation. Now, let’s start by talking about the history. Of course, the patient will tell us some complaint, which will point us in the direction of which disease they might have. Thus, just to give you an example, the patient talks about chest discomfort, then we are thinking about atherosclerotic or hardening of the...

    About the Lecture

    The lecture Diagnostics I - The Patient's History by Joseph Alpert, MD is from the course Introduction to the Cardiac System. It contains the following chapters:

    • The Patient‘s History
    • The Cardiac Physical Exam
    • The Electrocardiogram
    • Reading ECGs

    Included Quiz Questions

    1. Shortness of breath
    2. Diarrhea
    3. Paralysis
    4. Hallucinations
    1. Childhood measles
    2. Cigarette smoking
    3. Elevated serum cholesterol
    4. High blood pressure
    5. Diabetes mellitus
    1. that the patient’s blood has decreased oxygen content.
    2. that the patient’s blood has increased oxygen content.
    3. that the patient has appendicitis.
    4. that the patient has insomnia.
    1. The first heart sound is caused by the closure of the mitral and tricuspid valves.
    2. The first heart sound is caused by the closure of the aortic and mitral valves.
    3. The second heart sound is caused by closure of the aortic and tricuspid valves.
    4. The second heart sound is caused by closure of the mitral and tricuspid valves.
    5. The first heart sound is caused by closure of the pulmonic valve.

    Author of lecture Diagnostics I - The Patient's History

     Joseph Alpert, MD

    Joseph Alpert, MD


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