From your 2021 MCME Online module on Differential Diagnosis:

Auscultation is an extremely important skill and should be used for (and documented) on all patients with complaining of shortness of breath. Some pearls to remember: • Listen for a full respiratory cycle • Ensure the diaphragm is placed on the patient’s skin (do not listen through clothing) • Utilize a step-ladder approach, listening to both sides of the chest at the same level, before moving down/up to listen to the next level, to allow for comparison

For more pearls check out the 2021 MCME module on Differential Diagnosis.

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