Heart Sounds
Auscultation positions: Apex (mitral); LSB2SP – left sternal border 2nd space (pulmonary); LSB4SP (tricuspid), RSB 2SP –right sternal border 2nd space (Aortic); LSB 3-4 SP –left sternal border 3rd to 4th space (Erb point to tricuspid); LSB 3SP – Left sternal border 3rd space – Erb’s point.
Each “number” includes audio narration by Dr. D.L. Roy followed by “sound” of specific heart lesion.
All heart sounds were recorded at bedside, are unaltered and represent real heart sounds from real patients. All patients received standard of care clinical diagnosis.
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S2 Normal Heart Sound (LSB2SP)
The pulmonary valve is directly under your stethoscope. Along with aortic valve closure, the intensity of the valve closure signs, along with the movement of pulmonary valve closure gives you much . . .
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Congestive Heart Failure (Rales)
Perhaps students do not see the terminal patient, with atrial fibrillation, rales, and peripheral edema, the picture of congestive heart failure. This is such a patient, an 88 year old who has had cor . . .
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Normal Heart Sound (Tricuspid)
In this station, your stethoscope is directly over the tricuspid valve and usually is the only position that you hear tricuspid valve closure, which is the second part of the S1 split. The spit is rel . . .
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Pulmonary Valve Stenosis (LSB2SP)
The murmur of pulmonary valve stenosis, invariably congenital in etiology, sounds much the same at any age. The pulmonary valve is stenotic, elevating RV pressure, and causing turbulence in the pu . . .
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Mitral Regurgitation (Apex)
You are listening at the apex with the diaphragm. The patient is a 26 year old female. S1 is difficult to hear, but it is there, jammed on to a murmur of 3/6 intensity. The murmur begins with S1 and i . . .
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Aortic Ejection Click (Apex)
Aortic Ejection Click (Apex) #1 You are listening at the apex with the diaphragm. The patient is a 74 year old man who has no known heart disease. S1 is prominently split, with the second compo . . .
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Atrial Septal Defect (LSB2SP)
There are three types of atrial septal defect, and only one will be demonstrated. The common defect is in the septum secundum, and its failure to develop leaves a large "hole" in the atrial septum . . .
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