20 mp3 files

320 kbps
Approximately one minute in length each

From the Cover:

20 Examples of Cardiac and Pulmonary Auscultation.

This Compact Disc offers examples of normal and abnormal heart and lung sounds.
Listening to these recordings enables you to refresh your knowledge and understanding
of normal and common pathological sounds and murmurs.

Special Contributors:

Track 1-10: Heartsounds and murmurs recorded by Morton E. Tavel, M.D, Professor of
Medicine, Indiana University, School of Medicine and consulting cardiologist with
Northside Cardiology Inc., Indianapolis, USA.

Track 11-20: Lungsounds recorded by Dr. G. Wurtemberger, Freiburg, Germany and

Professor R.L.H. Murphy, jr., Boston, USA.

Track Type Auscultation Area Possible Causes

1 Normal Heart Sound
2 Third Heart Sound, S3 Apex
(physiological)
3 Fourth Heart Sound,
s4
4 Aortic Stenosis
5 Mitral Regurgitation
6 Midsystolic Click
7 Ventricular Septal
Defect
8 Atrial Septal Defect
9 Mitral Stenosis
10 Aortic Regurgitation
Apex ----
Normal in children who have
increased diastolic volumes;
usually not heard past the age of
30
Apex (left ventricular origin) Severe
Hypertension; Aortic Stenosis;
Cardiomyopathies; Myocardial
Infarction
Right Base Congenital Malformation of
Valve Cusps; Rheumatic Fever;
Calcification
Apex Chronic Rheumatic Fever; Acute
Bacterial Endocarditis;
Myocardial Ischaemia or
Infarction; Calcification; Mitral
Valve Prolapse
Apex Mitral Valve Prolapse
Lower Left Sternal Congenital malformation (in
Border children); Trauma; Myocardial
Infarction
Left Base Congenital Malformation (in
children); Trauma
Apex Rheumatic Fever
Mid Left Sternal Bacterial Endocarditis; Trauma;
 Border (3rd Rheumatic Fever; Congenital
intercostal space) Malformation
11 Normal Tracheal Trachea ----
Sound Interscapular
12 Normal Vesicular Right Lower Lobe, ----
Sound Left Lower Lobe
13 Fine Crackles with Right Middle Lobe Atelectasis
Deciduous Bronchial
Sound
14 Coarse Crackles Right Lower Lobe Resolving Pneumonia;
Pulmonary Oedema
15 Bronchial Sound Left Lower Lobe Pneumonia
16 Inspiratory Stridor Trachea Narrowing of the Upper Airways
(e.g. Laryngeal Carcinoma;
Vocal Cord Oedema; Foreing
Body Aspiration)
17 Rhonchus Right Lower Lobe Chronic Bronchitis
18 Wheezing Left Lower Lobe Bronchial Asthma
19 Fine Crackles Lung Basis Pulmonary Fibrosis; Onset of
Myocardial Insufficiency
20 Pleural Friction Right Middle Lobe Pleurisy; Pulmonary Infarction

Main Cardiac Auscultation Areas:

a) Right Base (2nd intercostal space)

b) Left Base (2nd intercostal space)
c) Lower Left Sternal Border (4th intercostal space)
d) Apex
e) Xiphoid

Main Pulmonary Auscultation Areas:

The Marked Areas describe auscultation areas for routine examinations.

In the case of suspected lung diseases additional areas should be auscultated.