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Paediatric Respiratory Examination FREE TO VIEW

Carin Lamm, MD
Chest. 2002;122(4):1502. doi:10.1378/chest.122.4.1502-a
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Published online


By Chris O’Callaghan, DM, PhD, and Wendy Stannard, MBChB, MRCPCH. Leicester, UK: OCB Media, 2001; CD-ROM, approximately US $42.87 (£29.38, including V.A.T.)

Professor Chris O’Callaghan and clinical research fellow Wendy Stannard, from the Department of Child Health and Institute of Lung Health, University of Leicester, employ an innovative multimedia format in a CD-ROM entitled Pediatric Respiratory Examination. This CD-ROM, organized into eight sections, explores important clinical topics in pediatric pulmonology including asthma, tracheostomy, pneumonia, bronchiolitis, stridor, bronchiectasis, the neonate, and the respiratory examination. Users can readily access written information, as well as audio and video clips of real patients, from a drop-down menu available in each section. For example, the student interested in bronchial asthma (the most common chronic illness affecting children) can scroll through written material and access audio discussions on four different presentations on asthma, including key points in its history and the physical examination. Illustrative radiographs can also be viewed. Pertinent diagnostic tests, such as spirometry or allergy skin tests, are linked to explanatory diagrams and photographs. In addition, the viewer can see and hear actual asthma patients, a unique attribute of a computer text such as this. With respect to the asthma case subsection, five different types of patients with asthma exacerbations are presented. In the related videos, the user can actually observe children with chest retractions and tachypnea and can hear the auscultatory findings of wheezes and rales. Similarly, the respiratory examination section records an examiner percussing a chest; the user can actually hear the difference between dullness and resonance. Finally, the last asthma subsection includes a differential diagnosis list that links to other useful sections of the CD-ROM for further discussion of these topics. The other sections and subsections are similarly organized.

The relative ease in navigating between sections represents another positive feature of this CD-ROM format. On the other hand, improvements could be made in the synchronization between media types, as there sometimes appears to be a time delay in the synchronization of the audio and the video portions of the program.

Paediatric Respiratory Examination is a superb CD-ROM, providing a significant amount of practice in clinical situations that is ordinarily obtained only after many years of experience. It should be of great interest to the primary care physician, medical student, nurse, or respiratory therapist and would serve as a valuable teaching aid for medical educators.




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