Heart Auscultation Quiz

Objective: to improve your skill diagnosing abnormalities of heart sounds and murmurs.

This series of cases provides the listener with diagnostic exercises to integrate history and physical with a detailed analysis of the heart sounds and arrive at a diagnosis. Many are Pediatric congenital heart disease but are common diagnoses and also suitable for learning adult presentation of these conditions. The recordings are of good quality from live subjects. A methodical approach to listening is essential: focus on S1, then S2, then systole and finally diastole.

NOTE: You will need good quality earbuds or possibly head phones but the closer the sound to your eardrums the better. Do not use computer speakers. Do not increase the loudness too much or you will get distortion. Your feedback is helpful, at teachingheartauscultation@gmail.com.

Case 1

4 year old boy, completely normal to past history and very active with no lack of energy, no breathlessness with exercise or other cardiac symptoms. On examination he looks normal but is slightly small for his age (35%ile for weight and height) and you find his heart action a bit increased particularly along the left sternal edge. Pulses are normal. You listen to his heart at the left upper sternal edge.

Press play arrow above to listen.