Auscultation in Primary Care

First and Second Heart Sounds - Reduced Intensity

This 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.

• play
• pause

Position: Mitral
Chestpiece: Diaphragm



Maneuver: Supine

Phonocardiogram

Heart Animation

Table of Contents

1	First and Second Heart Sounds - Normal and Unsplit
2	First and Second Heart Sounds - Reduced Intensity
3	Second Heart Sound - Splitting
4	Third Heart Sound Gallop
5	Fourth Heart Sound Gallop
6	Third and Fourth Heart Sound Gallop
7	Summation Gallop at 120 beats per minute
8	Second Heart Sound - Fixed Splitting
9	Mid-Systolic Click
10	Mitral Valve Leaflet Prolapse
11	Aortic Stenosis (Diamond Shaped Systolic Murmur)
12	Aortic Regurgitation (Decrescendo Diastolic Murmur)
13	Mitral Regurgitation (pansystolic Murmur)
14	Mitral Stenosis (Diastolic Murmur)

      

Practice Drill