Heart Auscultation

🩺 All auscultation takes is for you to have two things… 1. A patient 🙆🏽‍♂️ & 2. A stethoscope 🩺. After you have these two items the key element is to have knowledge about both in order to assess the health of the heart🫀

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Let’s get into some of the understanding:

✅ Patient Position

Patient positioning during assessment facilitates the auscultation of various valve anomalies. Initially, a complete auscultation assessment should be performed as the patient is in supine or sitting position. Then, patients should be positioned laterally onto their left side so the provider can listen with the bell of the stethoscope for any S3, S4 (extra heart sounds) and/or mitral stenosis murmurs in the apex region. Aortic and pulmonic murmurs are more easily identified with the diaphragm of the stethoscope when patients are in a sitting position, leaned forward, and asked to exhale.

✅ Areas of listening

Mnemonic: “APE To Man”

A: Aortic
Location: right sternal border in 2nd intercostal space (base)
Sound: S2 “dub”

P: Pulmonic
Location: Left sternal border in 2nd intercostal space (base)
Sound: S2 “dub”

E: Erb’s point
Location: Left sternal border in 3rd intercostal space
Sound: S1 & S2 (line of separation between base & apex)

To: Tricuspid
Location: Left of sternal border in 4th intercostal space (apex)
Sound: S1 “lub”

Man: Mitral
Location: Midclavicular line on left side of chest in 5th intercostal space (apex)
Sound: S1 “lub”

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[evastarks]

Most commonly REPLACED valve is the Aortic valve.
Most REPAIRED valve is the Mitral valve.

[jeffrey]

Aortic valve is the most commonly replaced :)

[NaiveAF]

Another easy way to remember is: APTM:
All Patients Take Meds
or All Prostitutes Take Money 😮