First and Second Heart Sounds - Reduced Intensity | Auscultation #73 | Lesson with Audio

Where to Auscultate

patient thorax when auscultating by stethoscope

patient position during auscultation
The patient was supine during auscultation.

Description

Here is a simulation of a first heart sound and a second heart sound with greatly reduced intensity. This can be seen in an obese patient or a patient with emphysema. It is a challenge to your ability to hear these reduced intensity sounds.

Phonocardiogram

Anatomy

First and Second Heart Sounds - Reduced Intensity


Authors and Sources

Authors and Reviewers

Sources

  • Heart and Lung Sounds Reference Library Diane S. Wrigley
    Publisher: PESI
  • Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
    Diane S Wrigley & Rosale Lobo
  • Practical Clinical Skills: Lung Sounds
  • PESI Faculty - Diane S Wrigley
  • Case Profiles in Respiratory Care 3rd Ed, 2019
    William A.French
    Published by Delmar Cengage
  • Essential Lung Sounds by William A. French
    Published by Cengage Learning, 2011
  • Understanding Lung Sounds Steven Lehrer, MD
  • Clinical Heart Disease W Proctor Harvey, MD
    Clinical Heart Disease
    Laennec Publishing; 1st edition (January 1, 2009)
  • Heart and Lung Sounds Reference Guide
    PracticalClinicalSkills.com




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