cardiology III stethoscope

[jcms]

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Is it really better to replace small diaphragm with bell sleeve?I've heard many different opinions.

 

[Wizard of Oz]

A Littmann Cardio III is not even necessary for medical school even though it is a favorite model among fledgling healthcare trainees. I don't really see a plus either way since the diaphragm is tunable nonetheless.

I would like to hear some of these opinions, though.

 

[lord_jeebus]

I have a stethoscope (DRG staff cardiology) with a tunable diaphragm and the choice of small diaphragm vs. bell on the other end. I see no point to a small diaphragm outside of pediatrics so I go with the bell (although I don't use it much).

Some attendings like to see the bell.

 

[Random]

Most of the people here with Cardio IIIs seem to use the bell sleeve rather than the peds diaphragm my the third year. That hasn't stopped some purist cardio attendings from giving some people grief for using a Littmann, though.

 

[pagemmapants]

Mrr mrrr Harvey was so great blah blah blah.

Then maybe he shouldn't have designed a scope that weighs 10 lbs.

I like my Littman and I think I'll keep the bell sleeve on until my peds rotation next year.

 

[deleted77919]

I like the small diaphragm for using on really tiny eldery women (or tiny guys . . . just haven't run into as many). It's easier to solidly hit the space between tiny closely spaced ribs, esp on the lateral sides when checking for lung sounds.

 

[Random]

Mrr mrrr Harvey was so great blah blah blah.

Then maybe he shouldn't have designed a scope that weighs 10 lbs.

I like my Littman and I think I'll keep the bell sleeve on until my peds rotation next year.

Well, for what it's worth, most of the praise here is directed toward scopes they don't even make anymore like the Rappaport-Sprague (the real one, not the cheap one).

 

[boston]

one thing the bell is useful for is to hear carotid bruits. it seems easier to make a seal around the skin of the neck compared to using the tunable diaphragm side with light pressure. just remember to have them hold their breath.