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  • Stetho

    S1 < S2/Normal

    Heart Sounds-1

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    Normal heart sounds at the base (aortic and pulmonary valve site) are S1 < S2 .  S2 generated when the aortic and pulmonary valves close almost simultaneously.  

     

    (C) 2020 Telemedica Inc.

    In order to prove that it is the original sound, special signals are incorporated into this sound.

    Number :
    Heart Sounds-1 (500)
    Normal/Abnormal :
    Normal sound
    Disease :
    -
    Area :
    A,P
  • Stetho

    S1 > S2/Normal

    Heart Sounds-2

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    Normal heart sounds Apex (mitral valve area) heart sounds are S1>S2, and S1 is generated when the mitral and tricuspid valves close almost simultaneously.  

     

    (C) 2020 Telemedica Inc.

    In order to prove that it is the original sound, special signals are incorporated into this sound.

    Number :
    Heart Sounds-2 (499)
    Normal/Abnormal :
    Normal sound
    Disease :
    -
    Area :
    T, M
  • Stetho

    Tracheal sounds

    Lung sounds-1

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    Tracheal breath sounds are broad frequencies heard over the trachea, sometimes as high as 1000 Hz. The duration of inspiratory (Insp) vs expiratory (Exp) phase is 1:1, although Exp phase might be longer than that of Insp. The frequency ranges distributed between200 Hz to 2000 Hz.

     

      (C) 2020 Telemedica Inc.

    In order to prove that it is the original sound, special signals are incorporated into this sound.    

    Number :
    Lung sounds-1 (523)
    Normal/Abnormal :
    Normal sound
    Disease :
    -
    Area :
    Neck
  • Stetho

    Bronchial sounds

    Lung sounds-2

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    Sounds heard around the carina at the level of Lewis angle with intermediate frequency. The frequency of bronchial sounds is lower than tracheal sounds, while, higher than in vesicular sounds. Inhalation:Expiratory time is considered as 1: 2, but in some cases 1: 1. Although bronchovesicular sounds are noted at peripheral lung fields (Insp vs Exp time is 1:1), which can hardly discriminate from bronchial sounds, thereby not discussed here.

     

    (C) 2020 Telemedica Inc.

    In order to prove that it is the original sound, special signals are incorporated into this sound.

    Number :
    Lung sounds-2 (522)
    Normal/Abnormal :
    Normal sound
    Disease :
    -
    Area :
    Upper and middle lung field
  • Stetho

    Vesicular sounds

    Lung sounds-3

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    Recognized in the whole lung fields, and the ratio of inspiratory: expiratory time is 2:1 to 3:1.  Audible like a breeze, low pitched sound only on inspiration and usually cannot recognize on expiration. A forced inspiration (Inhale vigorously) can make the alveolar breath sound more louder.

     

    (C) 2020 Telemedica Inc.

    In order to prove that it is the original sound, special signals are incorporated into this sound.

    Number :
    Lung sounds-3 (521)
    Normal/Abnormal :
    Normal sound
    Disease :
    -
    Area :
    Whole lung fields
  • Stetho

    Gulu sounds

    Bowel sounds-1

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    Peristaltic sounds propagate throughout the abdomen, so 1 ~ 2 auscultation positions are sufficient / Normal: At least 5 times per minute, Decreased: 1 ~ 2 times per minute (Constipation, peritonitis, paralytic ileus, decreased bowel movement due to surgery), Loss: No crackles for 5 minutes (Functional ileus and peritonitis), High: Always heard (Infectious enteritis, diarrhea, intestinal obstruction).

     

    (C) 2020 Telemedica Inc.

    In order to prove that it is the original sound, special signals are incorporated into this sound.

    Number :
    Bowel sounds-1 (483)
    Normal/Abnormal :
    Normal sound
    Disease :
    -
    Area :
    abdomen
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The more you use a Kikuzo speaker, the more acquire auscultation skills.

Auscultation is an important skill for clinical practice.

Auscultation is not done with the ears, but between the ears.