auscultation

聴診 　 　

WordNet

1. listening to sounds within the body (usually with a stethoscope)
2. of or relating to auscultation

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1. 聴診

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出典(authority):フリー百科事典『ウィキペディア（Wikipedia）』「2014/12/08 14:09:32」(JST)

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For the ancient monasterial worker, see Auscultare

Auscultation
Intervention
Laënnec auscultates a patient before his students.
MeSH	D001314
MedlinePlus	002226

Auscultation (based on the Latin verb auscultare "to listen") is the term for listening to the internal sounds of the body, usually using a stethoscope. Auscultation is performed for the purposes of examining the circulatory system and respiratory system (heart sounds and breath sounds), as well as the gastrointestinal system (bowel sounds).

The term was introduced by René-Théophile-Hyacinthe Laënnec. The act of listening to body sounds for diagnostic purposes has its origin further back in history, possibly as early as Ancient Egypt. Laënnec's contributions were refining the procedure, linking sounds with specific pathological changes in the chest, and inventing a suitable instrument (the stethoscope) in the process. Originally, there was a distinction between immediate auscultation (unaided) and mediate auscultation (using an instrument).

Auscultation is a skill that requires substantial clinical experience, a fine stethoscope and good listening skills. Doctors listen to three main organs and organ systems during auscultation: the heart, the lungs, and the gastrointestinal system. When auscultating the heart, doctors listen for abnormal sounds including heart murmurs, gallops, and other extra sounds coinciding with heartbeats. Heart rate is also noted. When listening to lungs, breath sounds such as wheezes, crepitations and crackles are identified. The gastrointestinal system is auscultated to note the presence of bowel sounds.

Electronic stethoscopes can be recording devices, and can provide noise reduction and signal enhancement. This is helpful for purposes of telemedicine (remote diagnosis) and teaching. This opened the field to computer-aided auscultation.

Auscultogram

The sounds of auscultation can be depicted using symbols to produce an auscultogram. It is used in cardiology training.

Immediate auscultation

Immediate auscultation is an antiquated medical term for listening (auscultation) to the internal sounds of the body, directly placing the ear on the body. It is opposed to mediate auscultation, using an instrument (mediate) i.e. a stethoscope.

Mediate auscultation

Mediate auscultation - a doctor auscultating a patient's abdomen

Mediate auscultation is an antiquated medical term for listening (auscultation) to the internal sounds of the body using an instrument (mediate), usually a stethoscope. It is opposed to immediate auscultation, directly placing the ear on the body.

Doppler auscultation

It is recently demonstrated that continuous Doppler enables the auscultation of valvular movements and blood flow sounds that are undetected during cardiac examination with a stethoscope in adults. The Doppler auscultation presented a sensitivity of 84% for the detection of aortic regurgitations while classic stethoscope auscultation presented a sensitivity of 58%. Moreover, Doppler auscultation was superior in the detection of impaired ventricular relaxation. Since the physics of Doppler auscultation and classic auscultation are different, it has been suggested that both methods could complement each other.

See also

• Breath sounds
• Heart sounds
• Intestinal Sound
• Percussion (medicine)
• Pericardial friction rub
• Triangle of auscultation

References

External links

• The Auscultation Assistant, - "provides heart sounds, heart murmurs, and breath sounds in order to help medical students and others improve their physical diagnosis skills"
• MEDiscuss - Respiratory auscultation with audio examples
• Blaufuss Multimedia - Heart Sounds and Cardiac Arrhythmias
• Independent Stethoscope Review - Comparative review of stethoscopes, including frequency response graphs.
• Auscultation Lessons and Reference Guide - Compilation of 100+ Heart and Lung Sounds and Phonocardiograms
• Wave Doppler Auscultation - Cardiac Continuous Wave Doppler audio and video examples

UpToDate Contents

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• 1. 心音の聴診 auscultation of heart sounds
• 2. Auscultation of cardiac murmurs in adults
• 3. 小児における身体的診察：胸部および腹部 the pediatric physical examination chest and abdomen
• 4. 救急外来における呼吸困難の成人の評価 evaluation of the adult with dyspnea in the emergency department
• 5. Approach to the infant or child with a cardiac murmur

English Journal

• Inadvertent Endobronchial Intubation in a Patient With a Short Neck Length.

• Cornelius B1, Sakai T2.
• Anesthesia progress.Anesth Prog.2015 Summer;62(2):66-70. doi: 10.2344/0003-3006-62.1.66.
• Inadvertent placement of the endotracheal tube into the right bronchus during intubation for general anesthesia is a fairly common occurrence. Many precautions should be taken by the anesthesia provider in order to minimize the incidence of endobronchial intubation, including bilateral auscultation
• PMID 26061576

• Predictors of positive or negative legionella urinary antigen test in community-acquired pneumonia.

• Roed T1, Schønheyder HC, Nielsen H.
• Infectious diseases (London, England).Infect Dis (Lond).2015 Jul;47(7):484-90. doi: 10.3109/23744235.2015.1021830. Epub 2015 Mar 11.
• BACKGROUND: Legionella pneumonia remains a diagnostic challenge. The legionella urinary antigen test (LUT) primarily detects Legionella pneumophila serogroup 1, accounting for 64% of Danish cases, and is often the only legionella test performed. We aimed to identify variables predictive of a positiv
• PMID 25761613

• Physiotherapist-initiated lung ultrasound to improve intensive care management of a deteriorating patient and prevent intubation: a case report.

• Leech M1, Bissett B, Kot M, Ntoumenopoulos G.
• Physiotherapy theory and practice.Physiother Theory Pract.2015 Jul;31(5):372-6. doi: 10.3109/09593985.2014.1003629. Epub 2015 Jan 29.
• BACKGROUND AND PURPOSE: This case report describes the physiotherapy assessments and interventions provided to a 56-year-old male in an Australian intensive care unit. The non-intubated patient suffered from respiratory deterioration, secretion retention, complete opacification of the left hemithora
• PMID 25630391

Japanese Journal

• 遠隔聴診のための情報支援システムの構築 (JTTA 2012 KOBE 日本遠隔医療学会学術大会 : 災害と遠隔医療) -- (遠隔モニタリング)

• 内田 祐介,黒田 知宏,高橋 秀也 [他]
• 日本遠隔医療学会雑誌 8(2), 235-237, 2012-09
• NAID 40019463473

• 新規に生じた心雑音により心炎の合併を同定し得た高齢発症リウマチ熱の1例

• 有沼 良幸,菊地 弘敏,荒巻 芸,高山 真希,浅子 来未,廣畑 俊成
• 日本臨床免疫学会会誌 = Japanese journal of clinical immunology 35(3), 194-198, 2012-06-30
•   62歳女性．2006年1月咽頭痛，発熱のため近医受診．感冒の診断にて処方受けるも次第に肩関節，肘関節および手指，足趾関節に疼痛・発赤・腫張が出現，結節性の皮疹も四肢に出現したため当院受診．炎症反応陽性および抗ストレプトリジン-O抗体（ASO) 411 U/mlと高値であり非ステロイド性解熱消炎鎮痛薬（NSAID）にて経過を見るも改善なく10日後，外来再度受診．炎症反応の増悪 …
• NAID 10030832745

Related Links

• auscultation - definition of auscultation by Medical dictionary

auscultation /aus·cul·ta·tion/ (aws″kul-ta´shun) listening for sounds within the body, chiefly to ascertain the condition of the thoracic or abdominal viscera and to detect pregnancy; it may be performed with the unaided ear (direct or immediate a.) ...

• auscultationの意味 - 英和辞書 - 英語辞書 - goo辞書

auscultationとは。意味や和訳。[名][U][C]医学聴診.... - goo英和辞書は14万項目以上を収録し、発音、音声、慣用句、例文が分かる英和辞書です。

Related Pictures

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★リンクテーブル★

リンク元	「聴診」「auscultatory」「聴診法」

「聴診」

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英

auscultation

• 頚部：総頚動脈、甲状腺
• 胸部：肺、心臓
• 腹部：腸蠕動音、大動脈雑音
• 下肢：大腿動脈雑音

肺音の聴診

連続性	～	吸気時	strider				気道狭窄音	気道狭窄音
連続性	低調整	呼気時	rhonchi		≦200Hz	＞250ms		COPD、気管支喘息、気管支拡張症、びまん性汎細気管支炎
連続性	高調性	呼気時	wheeze		≧400Hz	＞250ms	気管壁がフラッタリングすることで発生	COPD、気管支喘息、気管支拡張症、びまん性汎細気管支炎。気管支喘息では複数の様々な音声が発生し、random polyphonic wheezes
連続性/断続性	高調性	吸気時	squawk			≦100ms	吸気により細い気管支が再開放する時に、気管支壁が短時間共振し発生	間質性肺炎、肺線維症、びまん性汎細気管支炎、過敏性肺臓炎、ウェゲナー肉芽腫症、気管支拡張症、石綿肺
断続性	低調整	吸気時	coarse crackle	early inspiratory crackle	250-500Hz	10～25ms	太い気道内の分泌液の膜の前後に、吸気時の圧較差が生じ、それが破れるときに発生。個々の音はfine crackleより長め	気管支拡張症、COPD、びまん性汎細気管支炎、進行した肺水腫
断続性	高調性	吸気時	fine crackle	late inspiratory crackle	500～1000Hz	≦5ms	呼気時に閉塞した末梢気道が吸気時に再開放されるときに発生	特発性間質性肺炎、特発性肺線維症、石綿肺、過敏性肺炎、肺水腫初期

• 腹部

<youtube>http://www.youtube.com/watch?v=yiVbKc4-CH0</youtube> <youtube>http://www.youtube.com/watch?v=oCsNpzEQ4OA</youtube>

「auscultatory」

　　[★]

• 聴診の

関

auscultation

　

「聴診法」

　　[★]

英

auscultation, stethoscopy