Comments on: How to Use a Stethoscope

on 8/8/2006 Although the "gold standard" clearly is that the chest piece should be applied to the bare skin, in fact at least a rough screening of both heart and lung sounds can be done through a thin T-shirt. This method is often not suitable for those with button-up or polo shirts because of buttons, pockets and heavy weaves near auscultory areas. However, unbuttoning a few buttons at the top of an oxford shirt often allows sufficient access to auscultory areas without unbuttoning and removing the entire shirt. Further, decent screening of the lungs can often be done over an oxford shirt from the back without taking it off---if the shirt is fairly thin and not furry; like a plaid or suede. If direct contact with the skin is felt necessary, having the patient lift up or roll up a T-shirt is often sufficient without insisting it be taken off. Finally, most tank tops are either thin enough to listen to the chest over them---or are cut with enough skin showing to allow the stethoscope to be inserted under the edges to auscultate most of the chest.

on 11/22/2005 I have found generally that you can either buy an easy album, or a slick looking one. If you want it to look professional, it will probably take more time to put together. If you don't have a lot of time, just buy an easy one -- the important thing is sharing the photos!