Monthly Archives: February 2012

Must Have Cardiology: Lilly Pathophysiology of Heart Disease

Lilly's Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and FacultyDid you ever wish your course materials had less research-driven material that was bogged down in details? Did you ever wish that relevant information wasn’t presented in a complex and sophisticated manner such that you could spend more time learning and not sorting through the hot mess that is a syllabus?

Lilly’s Pathophysiology of Heart Disease: A Collaborative Project of Medical Students and Faculty solves both commonly-heard complaints with a well-organized and informative text that will be essential for your Cardiology or Physiology course. The book was written by Dr. Leonard Lilly, a Harvard cardiologist, who understood the pains of the first two years of medical school. He gathered 79 medical students who provided insights on how to present and teach pertinent information to medical students. The book itself has received many accolades from around the world and may already be required at your medical school.

There are quite a few benefits to using this book. The content is set up in a way that allows you to read the book, well… like a book (I know it’s hard to imagine in med school). It starts with pertinent information that med students will need to know in order to understand each subsequent chapter. The material in the Fifth Edition covers: 1. Basic Cardiac Structure and Function, 2. The Cardiac Cycle: Mechanisms of Heart Sounds and Murmurs, 3. Diagnostic Imaging and Cardiac Catheterization, 4. The Electrocardiogram, 5. Atherosclerosis, 6. Ischemic Heart Disease, 7. Acute Coronary Syndromes, 8. Valvular Heart Disease, 9. Heart Failure, 10. The Cardiomyopathies, 11. Mechanisms of Cardiac Arrhythmias, 12. Clinical Aspects of Cardiac Arrhythmias, 13. Hypertension, 14. Diseases of the Pericardium, 15. Diseases of the Peripheral Vasculature, 16. Congenital Heart Disease, 17. Cardiovascular Drugs.

If you choose to use Lilly as a supplemental resource, it is structured in a way that allows you to easily reference sections that integrate disease processes with normal physiologic processes. For example, Chapter 2 has a 6 page excerpt with descripitions of all normal heart sounds, as well as pathological causes and explanations of abnormal heart sounds. If a disease is explained later in the book, Lilly places the appropriate chapter number to point you in the right direction.

Lilly Pathophysiology of Heart Disease Fourth Edition

There are a few disadvantages to this review book. Lilly admits that Pathophysiology of Heart Disease is not meant to be a resource for in-depth questions prompted by the burning minds of future cardiologists. For example, although the book goes to great lengths to describing the mechanics behind an EKG, it falls short of providing the best explanation and a more exhaustive list for pathologies seen in different EKGs. However, to make up for the lack of detail inherent in a review book on cardiology for a med student, Lilly does provide additional readings that he cites at the end of each chapter.

Nevertheless, Lilly is a must-have to help you sort through the massive amounts of information thrown at medical students during Cardiology. It breaks everything down into concise, but understandable text that is rarely found in medical education. The Fifth Edition of Lilly’s Pathophysiology of Heart Disease can be found at the below links. If you want to save some money, the fourth edition (above) covered practically everything needed for my Cardiology course. Regardless of the edition that you choose, Lilly will not disappoint!


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A High Yield Complement: BRS Physiology

Board Review Series (BRS) PhysiologyBoard Review Series (BRS) Physiology, now in its 5th edition, is the leading resource on physiology concepts crucial for the foundation of medicine as well as those highly tested on the United States Medical Licensing Examination (USMLE) Step 1. This book, written by the esteemed Linda S. Costanzo, Ph.D, provides very clear and concise explanations of essential physiological principles of each organ system as well as those of cellular physiology. This text contains many clinical examples and sample problems to help medical students test their understanding of these concepts and their application in clinical scenarios. Each chapter concludes with a review test, accompanied by explanations and references to sections from which the question arose. To further aid appreciation and long-term retention of these key principles, many full-color illustrations, flow diagrams, and tables as well as a summary page of “Key Physiology Equations for USMLE Step 1” are included. Additionally, each book features a scratch off code which provides access to supplementary online resources, such as a question bank and a comprehensive examination with an image bank, on The Point.

This book provides a clear outline with appropriate breadth and depth of high yield material that is most commonly tested on USMLE Step 1. It is recommended that this book be read in conjunction with corresponding physiology courses throughout med school or as part of review for the boards. Because this book presents the material in a very straightforward manner, it helps to simplify difficult concepts to better understand medical physiology.

Despite the many benefits of using this book as part of any study plan for the USMLE, there are a few drawbacks which should be noted. Many of the questions featured in the chapter Review Tests and Comprehensive Examination are not written in the style of the USMLE Step 1. Rather, most are short questions that are aimed to test the knowledge of key concepts and should not be relied upon to gain familiarity with the format of the USMLE Examinations. The review questions are also simpler than most found in question banks and the exam itself. Lastly, this book is designed to be a review book and as such should be used in conjunction with more comprehensive resources such as textbooks, classroom lectures and syllabi.

The material in this book is organized into seven chapters by organ system, each of which ends with a review test and explanations. The first chapter provides a general overview of Cell Physiology followed by chapters on: Neurophysiology, Cardiovascular Physiology, Respiratory Physiology, Renal and Acid-Base Physiology, Gastrointestinal Physiology, and Endocrine Physiology. This Board Review Series book culminates in a 99 question comprehensive examination which is followed by explanations and page references.

Overall, this book is highly recommended to medical students for learning the physiology of the major organ systems, and especially in conjunction with Tao Le’s First Aid for those who are preparing for the USMLE Step 1. This reasonably priced review text will provide any medical student with a clear understanding of the most frequently tested physiology concepts and to provide a solid foundation for a career in medicine.


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