Physical Examination Procedure
Class: Please visit each site to hear excellent examples of what we’ve been discussing in class. Pay particular attention to all of the lung/cough sounds and the following heart sounds: mitral valve prolapse, mitral stenosis, mitral regurgitation, aortic regurgitation, aortic stenosis, splitting of S1 and S2, and rhythm disorders, such as gallops, tachycardia, bradycardia, etc.
Youtube videos:
http://www.youtube.com/user/Drparth2008 This is the collection of respiratory sounds that we listened to in class, as well as heart sounds that we have not heard.
Heart sounds:
www.blaufuss.org Go to “heart sounds tutorial” from the home page
http://www.wilkes.med.ucla.edu/inex.htm (The auscultation assistant, multiple examples of heart and lung sounds)
http://depts.washington.edu/physdx/heart/demo.html Excellent multiple heart sounds!
http://www.texasheartinstitute.org/Education/CME/explore/events/eventdetail_5469.cfm Multiple heart sounds that are downloadable as podcasts
http://www.cardiologysite.com/index.html Huge selection of heart sounds on the left side drop-down menu
Split S1
http://www.medic.mie-u.ac.jp/student/sinnonn07.wav
Split S2
http://www.co.gaston.nc.us/gemshp/training/SplitS2HeartTone.htm
http://www.medic.mie-u.ac.jp/student/sinnonn09.wav
Mitral Valve Prolapse
http://www.merck.com/mmpe/sec07/ch076/ch076d.html Great discussion of the pathology with good audio examples
Coughs
Whooping Cough/pertussis:
http://www.pertussis.com/hear.html
http://www.whoopingcough.net/cough-child-muchwhooping.wav
http://www.childhealthguide.com/cough.htm#para5 excellent video of infant with pertussis in the “Introduction to Whooping Cough” link (this is found in the middle panel of the page under the “Learn More About Coughs” panel)
Stridor:
http://www.childhealthguide.com/cough.htm#para5 same link as above…spend some time listening to other coughs/lung sounds
http://pediatrics.about.com/od/pediatricsounds/Pediatric_Sounds.htm
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Case of the Week