MEDI D660

Students Report To: Please call Dr. O'Bryan prior to the first day of rotation (843) 662-1502. Students will need to attend McLeod Hospital's orientation the first Monday of the rotation. Please contact Pee Dee AHEC- especially if housing is requested. 843-777-5341.

Through didactic and clinical office, clinic and hospital experiences the student will be introduced to the interpretation of electrocardiograms, echocardiograms, and other graphic studies including stress testing; the role of consultant in the evaluation and management of selected cardiac patients presenting acute or chronic cardiovascular disorders. In addition, the student will elicit and conduct detailed histories and physical examinations and subsequent presentation of findings, the cardiopulmonary resuscitation technique including situations and the participation in cardiology conferences.

Objectives

1.	Identify, on a normal cardiac x-ray series (four views), the location of the heart the bronchi, the esophagus, the diaphragms and the sternum with 80% accuracy in two minutes.
2.	Examine the following areas in such a way as to obtain reliable information regarding the normality or abnormality of the peripheral arterial pulses and carotid pulse: the jugular venous pulse; the liver and hepatic pulsation; the extremities; the lungs; the heart, rhythm, size, pulsations, thrill sounds, murmurs, friction rubs; ophthalmoscopic examination.
3.	Differentiate innocent versus pathologic murmurs; comprehend and apply clinical therapeutics as related to: the in-hospital and long-term management of patients with myocardial infarction; the treatment of acute pulmonary edema; the treatment of rhythm disturbances; the fundamentals of cardiopulmonary resuscitation.
4.	Identify on photomicrographs of ventricular and atrial wall, the endocardium, the myocardial fibers and their nuclei and the epicardium with 80% accuracy in four minutes.