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I have no problem hearing an elderly, weak, thready, irregular pulse with a Littman Lightweight (~$30 online.) It's the abnormal breath sounds that I have trouble with. I have a cheap $15 sprague rappaport for infants and peds, and even that works well. I'm not buying a better one until I graduate. I wouldn't spend the money until I was entering a specialty that required something like that.
The BEST scope I have found is called a Cardiocare. I ordered it on-line when I worked rescue I prefer it to the Littman Cardio III. It looks a little different but it has a dacron shield inside it that amplifies sound and reduces outside interference, one of the cardiologist tried mine one day and ordered ten for his office. It is a great scope and only cost about 30.00. I have had mine for six years and I would not want anyother kind. I can even get breath and heart sounds on a 850 gastric bypass pt. Two of our intensivist are now using them as well.
I just bought a Littmann Cardiology III for graduation. I can hear good with it. The thing I like about it is it has one side that is pediatric and the other is adult. This is especially handy for me because I work in Peds Emergency, and one patient is an infant and the next is 17, so the dual sides is important!
I bouth mine from allheart.com for $119 + shipping, which is the cheapest I have ever seen a new one.
agent
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Before you get all weird on me, I mean stethoscope, not anything to probe yer rears
I will be starting clinical in the fall and I don't want to struggle trying to find a 90yr old's pulse.
I hear the littman cardiology scopes are good.
Any recommendations?
Thanks!