UniStream Home Healthcare Updated The Heart and Lung Auscultation Points For TeleMedicines or Microsoft CoPilot AI Assisted Review

 

 

Here’s your integrated Heart + Lung Auscultation Chart — a single reference that combines all critical points for recording sessions. 

🫀 Heart Points

• 1 Aortic (S2) — 2nd Right ICS, sternal border

• 2 Pulmonic (S2) — 2nd Left ICS, sternal border

• 3 Tricuspid (S1) — 4th–5th Left ICS, sternal border

• 4 Mitral (S1) — 5th Left ICS, midclavicular line

Extra sounds: S3, S4, clicks, snaps noted at apex and base.

🌬️ Lung Points

• 1 Right Upper Apex — above clavicle, midclavicular line

• 2 Left Upper Apex — above clavicle, midclavicular line

• 3 Right Middle Lobe — 4th–5th ICS, midclavicular line

• 4 Left Anterior Base — 3rd–4th ICS, midclavicular line

• 5 Right Lower Posterior — below scapula, 8th–10th ICS

• 6 Left Lower Posterior — below scapula, 8th–10th ICS

• 7 Right Lateral — midaxillary line, 6th–8th ICS

• 8 Left Lateral — midaxillary line, 6th–8th ICS

⏱️ Recording Guidance

• Heart points: 8–10 seconds each (2–3 normal + 2 deep breaths).

• Lung points: 8–10 seconds each (cover inspiration + expiration).

• Total session: ~3–4 minutes for complete heart + lung set.

• File labeling: Use identity numbers (e.g., “H1_Aortic.wav”, “L5_RightLowerPosterior.wav”)

  
  

  Here’s a step‑by‑step recording protocol checklist you can follow during live auscultation sessions — ideal for structured documentation and professor verification.

  🩺 Pre‑Recording Setup

  1. Patient Positioning — Upright or 45° semi‑recumbent for heart; sitting forward for lungs.

  2. Environment Check — Quiet room, minimal echo, no fan or air‑conditioning noise.

  3. Device Calibration — Verify electronic stethoscope battery, gain, and sampling rate (≥ 44 kHz).

  4. File Labeling Template — Prepare filenames like H1_Aortic.wav, L5_RightLowerPosterior.wav.

  5. Baseline Recording — Capture 5 s of silence for noise profiling.

  ❤️ Heart Auscultation Sequence

  Step	Point	Duration	Notes
  1	Aortic (2nd R ICS)	8–10 s	Record S1–S2 cycle; listen for systolic murmur.
  2	Pulmonic (2nd L ICS)	8–10 s	Capture S2 splitting; note any diastolic murmur.
  3	Tricuspid (4th–5th L ICS)	8–10 s	Record holosystolic regurgitation if present.
  4	Mitral (5th L ICS MCL)	8–10 s	Capture S1, S3/S4, clicks/snaps.
  ✅	Review	—	Confirm all four points saved and labeled.

  🌬️ Lung Auscultation Sequence

  Step	Point	Duration	Notes
  1	Right Upper Apex	8–10 s	Normal vesicular breath sounds.
  2	Left Upper Apex	8–10 s	Compare symmetry.
  3	Right Middle Lobe	8–10 s	Detect wheezes or bronchial sounds.
  4	Left Anterior Base	8–10 s	Check for crackles or diminished sounds.
  5	Right Lower Posterior	8–10 s	Capture basal crackles.
  6	Left Lower Posterior	8–10 s	Capture pleural rubs or fine crackles.
  7	Right Lateral	8–10 s	Record mid‑axillary breath sounds.
  8	Left Lateral	8–10 s	Compare with right side.
  ✅	Review	—	Ensure all eight lung points saved and labeled.

  🧾 Post‑Recording Verification

  • Confirm file integrity (no clipping, consistent amplitude).

  • Annotate breathing phase (inspiration/expiration).

  • Note patient posture and respiratory rate.

  • Store recordings in a secure folder with metadata (date, device, operator).

  • Submit to professor with checklist ticked and signed.