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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

 

Breast Cancer Risk Factors

 

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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