Information about Auscultate

For the ancient monasterial worker, see Auscultare


Auscultation is the technical term for listening to the internal sounds of the body, usually using a stethoscope. Auscultation is normally performed for the purposes of examining the circulatory system and respiratory system (heart sounds and breath sounds), as well as the gastrointestinal system (bowel sounds).

The technical term was invented by René-Théophile-Hyacinthe Laënnec, a French physician. It is based on the Latin verb auscultare "to listen". However the act of listening to body sounds for diagnostic purposes has its origin further back in history, possibly as early as Ancient Egypt. Laënnec's contribution was to document formally the procedure and relevant findings in his book "De l'auscultation médiate", published in 1819. Laënnec's contribution to the field went further, not only documenting clinical findings, but inventing the requisite device in the form of the first stethoscope, a wooden trumpet that allowed him to listen to female patients without having to place his ears to their breasts.

Auscultation is a skill that requires substantial clinical experience, and good listening skills. Heart sounds are faint only because most acoustic stethoscopes leaks. Electronic stethoscopes have been around since 1960,-one by Francis Andries flew on the Space Shuttle in 1970's and was used to record many of the real heart sounds used for on line self teaching by Andries Auscultation with different levels of training, "Auscultation of the Heart- Level One", 258 real heart sounds by W. Proctor Harvey, M.D. and interactive instructions by John Micheal Criley, M.D. at www.andries.com. Some more recent ones by Thinklabs, Welch Allyn, 3M, and others have become available, making heart and lung sounds seem more audible to the clinician, but really make them only louder. The electronic stethoscope also allows for recording of sounds and transmission for the purposes of telemedicine, or remote diagnosis. Thinklabs uses a novel electronic diaphragm detection system to convert sounds into electronic signals. Welch-Allyn uses a piezo-electric sensor on a metal shaft inside the chestpiece; while 3M uses a conventional microphone. These advances are likely to ensure that auscultation remains a primary screening tool for clinicians, as a precursor to more costly tests such as ultrasound.

Doctors listen to three main organs/ organ systems during auscultation: the heart, lungs, and the gastrointestinal system. When auscultating the heart, doctors listen for abnormal sounds including heart murmurs, gallops, and other extra sounds coinciding with heartbeats. Heart rate is also noted. When listening to lungs, breath sounds such as wheezes and crackles are identified. The gastrointestinal system is auscultated to note the presence of bowel sounds.

Learning the accurate and reliable interpretation of auscultation findings has been improved by recent technological advances. There is a web site, www.andries.com with sample heart sounds and on line self teaching, the Auscultation Assistant[1], "provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills".

See also

External links

[2]
auscultare, q.d. to hear, listen.

"Quicunque Lecturus vel Cantaturus est aliquid in Monasterio; si necesse babeat ab eo, viz. Cantore, priusquam incipiat debet Auscultare." — Lanfranc in Decreta pro ordinis S. Benedicti.
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The stethoscope (Greek στηθοσκόπιο, of στήθος, stéthos - chest and σκοπή, skopé - examination
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Circulatory System is a psychedelic rock musical ensemble formed by musician/painter Will Cullen Hart, and featuring Hannah Jones, Derek Almstead, Peter Erchick, John Fernandes, and Heather McIntosh.
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respiratory system generally includes tubes, such as the bronchi, used to carry air to the lungs, where gas exchange takes place. A diaphragm pulls air in and pushes it out. Respiratory systems of various types are found in a wide variety of organisms.
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heart sounds are the noises (sound) generated by the beating heart and the resultant flow of blood through it. This is also called a heartbeat. In cardiac auscultation, an examiner uses a stethoscope to listen for these sounds, which provide important information about the
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Breath sounds refer to the specific sounds identified through auscultation of the respiratory system with a stethoscope.

In this context, "adventitious" refers to sounds heard apart from the normal sounds of inspiration and expiration.
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gastrointestinal tract (GI tract), also called the digestive tract, or the alimentary canal, is the system of organs within multicellular animals that takes in food, digests it to extract energy and nutrients, and expels the remaining waste.
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René-Théophile-Hyacinthe Laennec (February 17, 1781- August 13, 1826), French physician; inventor of the stethoscope. Dr. Laennec was born in Quimper, Brittany and studied medicine at the Hôpital de la Charité, Paris qualifying in 1804.
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physician applies to a person who practices some type of medicine. Such medical practitioners are concerned with maintaining or restoring human health through the study, diagnosis and treatment of disease and injury, through both an area of knowledge
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The stethoscope (Greek στηθοσκόπιο, of στήθος, stéthos - chest and σκοπή, skopé - examination
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3M Company

Public (NYSE:  MMM )
Founded Two Harbors, Minnesota, USA (1902)
Headquarters Maplewood, Minnesota, USA

Key people George W. Buckley, Chairman, President and CEO
Patrick D.
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real time (synchronous) and store-and-forward (asynchronous).

Real time telemedicine could be as simple as a telephone call or as complex as robotic surgery. It requires the presence of both parties at the same time and a communications link between them that allows a
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Piezoelectricity is the ability of some materials (notably crystals and certain ceramics) to generate an electric potential[1] in response to applied mechanical stress. This may take the form of a separation of electric charge across the crystal lattice.
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Medical ultrasonography (sonography) is an ultrasound-based diagnostic imaging technique used to visualize muscles and internal organs, their size, structures and possible pathologies or lesions.
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heart is a muscular organ responsible for pumping blood through the blood vessels by repeated, rhythmic contractions, or a similar structure in the annelids, mollusks, and arthropods.
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lungs flank the heart and great vessels in the chest cavity.[1]]]

The lung is the essential respiration organ in air-breathing vertebrates, the most primitive being the lungfish.
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gastrointestinal tract (GI tract), also called the digestive tract, or the alimentary canal, is the system of organs within multicellular animals that takes in food, digests it to extract energy and nutrients, and expels the remaining waste.
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Cardiac murmurs and other cardiac sounds
Classifications and external resources

ICD-10 R 01.
ICD-9 785.2 - 785.3

DiseasesDB 29151
MedlinePlus 003266

Murmurs
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Heart rate is a term used to describe the frequency of the cardiac cycle. It is considered one of the four vital signs. Usually it is calculated as the number of contractions (heart beats) of the heart in one minute and expressed as "beats per minute" (bpm).
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Wheeze
Classifications and external resources

ICD-10 R 06.2
ICD-9 786.07

A wheeze is a continuous, coarse, whistling sound produced in the respiratory airways during breathing.
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gastrointestinal tract (GI tract), also called the digestive tract, or the alimentary canal, is the system of organs within multicellular animals that takes in food, digests it to extract energy and nutrients, and expels the remaining waste.
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In medicine, a pericardial friction rub, also pericardial rub, is a sign on the precordial exam, detected by auscultation, that suggests irritation of the pericardium and the diagnosis of pericarditis.
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heart sounds are the noises (sound) generated by the beating heart and the resultant flow of blood through it. This is also called a heartbeat. In cardiac auscultation, an examiner uses a stethoscope to listen for these sounds, which provide important information about the
..... Click the link for more information.
Breath sounds refer to the specific sounds identified through auscultation of the respiratory system with a stethoscope.

In this context, "adventitious" refers to sounds heard apart from the normal sounds of inspiration and expiration.
..... Click the link for more information.
The triangle of ausculation is situated behind the scapula.

It is bounded above by the Trapezius, below by the Latissimus dorsi, and laterally by the vertebral border of the scapula; the floor is partly formed by the Rhomboideus major.
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