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Cardiac auscultatory skills of internal medicine and family practice trainees.
Coughing attacks were seen in all cases, fever in 2 (5%) cases, auscultatory crackles in 12 (30%) cases and difficulty breathing in 4 (10%) cases.
Since most standard automated units are not reliable during exercise, these measurements are best obtained through manual auscultatory methods.
Such deficiencies can only be exacerbated by improper auscultatory technique such as that described here.
Often, at this time, the patient's chest reveals normal auscultatory findings and normal radiography.
After the subject had remained seated for 10 minutes, blood pressure was measured at the brachial artery by the auscultatory method.
Using medical record review, we then identified persons with ILI (defined above) or LRTI, defined by the presence of at least 1 specific lower respiratory tract sign, including tachypnea, retractions, or hypoxia (oxygen saturation <92%), and/or abnormal auscultatory findings (crackles/crepitations or wheezing), and/or unequivocal and abnormal radiographic findings.
The reason for this is the auscultatory gap that can occur, particularly with HTN.
Blood pressures of both arms were recorded simultaneously by auscultatory method every 15 minutes up to 2 hours using mercury sphygmomanometer (Diamond).