September 21, 2023
August 22, 2023
July 11, 2023
You can try the sound source of the sample
Below are sample sound sources for three cases. By moving the stethoscope image, you can hear the actual heart and lung sounds from each part of your body.
* Note: Earphones or headphones are required to listen to the sound source.
iPax, PBL Application Examples
The iPax chest and back illustrations can be changed, allowing for a more realistic case scenario setting by changing the picture or illustration to match your PBL scenario.
HR and RR can be selected from the iPax database.
iPax information page here
Q: How did you feel about the iPax you used this time from the instructor's point of view? Please tell us about the advantages and disadvantages compared to conventional teaching materials and simulators.
A: With iPax, you can hear the sound of the part where you move the stethoscope on the screen, so it was very realistic and popular. It was difficult to hear the breath sounds in the part where I wanted to hear the sound (middle precordial lobe), and it was sometimes difficult whether it was our clumsiness or a problem with the system.
Comment from Telemedica:
In iPax, vesicular sounds are set near the middle precordial lobe. This sound is difficult to hear because it has a lower pitch and volume than tracheal breath sounds and bronchial breath sounds. When outputting the iPax auscultation sound played on a computer to the venue, the sound will be louder if it is output to speakers that support deep bass through an amplifier. Or use Kikuzo to share auscultatory sounds without the need for a large sound system.
Q: What was iPax like from the participants’ point of view? Please tell us about the advantages and disadvantages of the comparison with conventional teaching materials.
A: The participants expressed their surprise at this as a new product. It seems that it was interesting to use it from an educational point of view.
Comment from Telemedica : Thank you. At other academic societies, when we exhibited iPax as a company, we received similar opinions. Please see below.
Neonatal Case 1: Heart murmur due to right ventricular outflow tract stenosis
In this case, you can listen to the heart sounds and bowel sounds.
Tetralogy of fallot
36 weeks 5 days in gestation and birth weight is 2374g. This is a newborn baby with Noonan syndrome and tetralogy of Fallot.
3 days after birth. Heart rate at 156bpm.
The split of sound II is so slight that it isn’t recognizable until you lower the sound speed.
An ejection murmur is heard during systole.
A murmur heard from the right ventricular outflow tract obstruction (subpulmonary arterial valve and an obstruction over 7mm).
A faint alarm sound of the ECG monitor can be heard in the background.
Heart Illustration of Tetralogy of Fallot
Heart sound spectrum
Shoichiro Amari, M.D.
Division of Neonatology
Center for Maternal-Fetal, Neonatal and Reproductive Medicine
National Center for Child Health and Development
An example of the "case list" of the sound source
＼ More than 700 cases in total ／
Heart sounds (iPax case)
・Normal heart sounds
・S2 respiratory split
・S2 aberrant division
・Aortic valve stenosis
・Mitral valve stenosis
Lung sounds (iPax case)
・Normal lung sounds
・Weezes + Ronkai
・Course Crackles + Ronkai
・Course Cluckles + Squawk + Ronkai
・Decreased bronchial breath sounds
Other auscultation sounds
・ Korotkoff sound (including pulse palpation function)
・ Guru sound (including metallic sound)
・Dialysis shunt sound
・ Heart failure
・ Heart failure
(mitral regurgitation + tricuspid regurgitation + atrial fibrillation)
・Cases of chest pain
・Cases with abnormal electrocardiogram
・Rheumatoid arthritis case of MTX lung
・ Interstitial pneumonia associated with rheumatoid arthritis COPD comorbid case
・Cases of idiopathic lung disease without honeycomb lung
・A case of high MDA-5 antibody-positive dermatomyositis
＼ If you want a case that is not on the list or an original case, Telemedica will create and provide the sound source ／