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.