Heart and Lung Sounds Reference Guide Aortic Pulmonic Erb's Point Tricuspid Mitral Lungs Whispered Pectoriloquy - Abnormal Auscultation Reference Signup Now. Unlock lessons and more. SignUp Patient Normal Speed play pause Patient Half Speed play pause Lesson For heart sounds listen to the synthetic sound while reviewing this lesson. Voice high frequencies are more readily transmitted to the chest wall in abnormal lungs as compared to normal lungs.Ask the patient to whisper "1-2-3" several times while auscultating across the chest walls. The lung area is abnormal if the "1-2-3" sound is understood. This is the abnormal '1-2-3'. Compare this sound to the recording found in the "Whispered Pectoriloquy - Normal" lesson. The waveform(s) seen above are a chart of sound amplitude (loudness) on the vertical axis against time on the horizontal axis. Listening Tips A summary of the key aspects of this heart or lung sound. Ask patient to whisper 1-2-3 several times. Auscultate across chest walls. Abnormal if 1-2-3 sound is understood. Auscultation Method The recommended patient position is sitting For this sound, use stethoscope's diaphragm The recommended auscultation position for the stethoscope is posterior-3l Relevant Courses If you wish to review a complete mobile concerning Whispered Pectoriloquy - Abnormal Auscultation Reference and related heart sounds, the modules(s) listed below may be useful. Each lesson includes text that explains the auscultatory sound and its clinical significance. The lesson also includes an audio track for playback. A waveform provides a great way to visualize the sounds. Finally, we also include an animation video. For heart sounds, the video illustrates heart muscle and valve movements along with blood flow. For lung sounds, the primary source of the sounds can be seen. Each module also includes a quiz. Intermediate Lung Sounds202 Whispered Pectoriloquy - Abnormal Auscultation Reference