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At least 19 recordsLinked to original sources

Projection of the triangle of auscultation on the human pulmonary surface.

The projection of the triangle of auscultation on the posterior aspect of the pleuropulmonary surface was studied in 36 embalmed cadavers (19 males and 17 females). A total of 58 observations was made in 22 cadavers bilaterally and in 14 unilaterally, after introducing a long pin at each angle of the dissected triangle of auscultation deep into the pulmonary parenchyma. The projection of the triangle of auscultation, limited by the m. latissimus dorsi, m. trapezius and the medial margin of the scapula, was always found on the inferior lobe of the corresponding lung in one or more segments. It was found on the superior segment of the inferior lobe (43.1% isolatedly; 67.2% with other segments), the posterior basal segment (13.8% isolatedly; 43.1% with other segments) and on the lateral basal segment (10.3% isolatedly; 39.7% with other segments). Identical bilateral projections occurred in 50% of the cases.

Adult

The arts of percussion and auscultation of the chest re-examined.

Clinical teaching of percussion and auscultation is examined critically, and it is suggested that there is confusion on the subject both in textbooks and in the minds of clinicians and students. Percussion should be viewed more in terms of 'feel' than 'sound', and thus a classification of 'hard', 'intermediate' and 'soft' dullness is introduced. As regards auscultation, a plea is made for differentiation between obstructed and non-obstructed consolidation of lobes, a point recognized by some clinicians, but not enunciated with clarity by teachers. The differences between the clinical findings in obstructive consolidation of the upper and lower lobes are discussed. The importance of distinguishing between tracheal and bronchial breathing is emphasized.

Auscultation

Group teaching of auscultation. Use of a new wireless stethoscope-type headphone.

A new technique using infrared light for the transmission of heart sounds and murmurs is described. This method enables the simultaneous transmission of heart sounds and murmurs to large groups of persons without the need for hard-wire connections to the amplifying device. The method facilitates teaching of cardiac auscultation at the bedside as well as in the setting of conferences, seminars or postgraduate education programs.

Audiovisual Aids

Orbital auscultation.

Orbital auscultation is recommended as a screening technique in patients with subjective bruit or tinnitus, persistent conjunctivitis, exophthalmos, headache, seizure disorder and other neurologic and psychiatric symptoms. It can reveal carotid-cavernous fistula, cerebral arteriovenous malformation, an intracranial mass which is producing increased intracerebral pressure, Paget's disease and other vascular abnormalities.

Arteriovenous Fistula

Auscultation of urinary flow.

Urinary flow in the male subject is associated with turbulence at the bladder neck. This turbulence is associated with the production of a sound in the healthy male subject, transmitted to the perineum.

Auscultation

Pathological validation of auscultation of the elderly heart.

Systolic murmurs present in 129 geriatric patients followed to post-mortem were assessed as mitral or aortic in origin by simple clinical assessment alone. Post-mortem examination contradicted clinical findings in only 2% of cases. Mitral valve pathology, mostly post-inflammatory scarring or mucoid degeneration, was present in 50% of the cases with murmurs. There was a significant correlation between the presence of murmurs, particularly mitral murmurs, and congestive cardiac failure, and there was also a significant correlation with age. A tendency for aortic systolic murmurs to be associated with a higher mean systolic blood pressure was not significant and there was no significant association between systolic murmurs and ischaemic heart disease.

Aged