Have you ever diagnosed something during play? (non MD or RN)

This question is for the non medical pros of course 😄 , and with due respect to their knowledge

During auscultations, have you ever heard what you thought were anormal sounds or anormal bp?

What were they?

How did you react? Tell your patient, send her to her MD for checkup; etc..?

Thank you

I've had the pleasure of stething the hearts of three different women--Ami, age 27; Julie, age 43; and Mary, age 55. All let me listen to them bare chested so I could get a good listen all around; Julie, who has C cup breasts, let me lift her left breast to get up under it to listen at her mitral valve; and I used a really good cardiology steth on all three. Ami is very petite, under 100 pounds with small A cup breasts, so her heart is really easy to hear. I didn't hear any murmurs, but she did throw a few PVC's (probably due to her fondness for energy drinks), and I was able to hear the sound of blood flow through her heart, especially with the diaphragm over her aorta. Aside from the occasional PVC's, her heart was steady as a metronome with a perfect s1 and s2, both sounds loud and solid. Julie has a history of mitral valve prolapse, and I was able to hear the clicking s1 and a slight mitral regurgitation murmur at her apex. Mary has the loudest heart I have ever listened to! Flawless rhythm, perfect s1 and s2, each heart sound solid as a bank vault door closing, no hint of any murmurs, just normal blood flow sounds over the arch of her aorta. I couldn't imagine an 18 year old Olympic athlete's pump sounding any better than my friend Mary's! All were fun to play doctor with!

My ex-boyfriend had his head on my chest, he started to act strange..saying even though he was not a doctor something didn't sound right. He begged me to see a Dr...I did and he was right...I have a-fib, with other skips extra.beats...etc...

Sadly i have never diagnosed anything while auscultating a female. I have not had the chance to steth many women.

My most interesting findings during my life and Playdoctor career:heart: a 27 years payient thin with a very strong apical impulse increased in the left lateral position ( heart seemed was coming out of the ribcage), she had a MVP with the typical midsystolick click and a slight regurgitation murmur.

Other patients with normal variations on heart auscultation but apart from small anxiety arrytmias nothing more.

Lungs: whezzes during colds on some patients ( audible at the back, many times antherior chest and recently without clinical relevance with my actual most regular patient wheezes at upper back and lateral at left axilae);

still lungs: pronounced wheezes and ronchi at my ex-wife ( during colds and she was a smoker) -heard easily and frequently at her antherior upper chest. Still on her once: terribly concerning pneumonia consolidation crackles at base of right lung posteriourly, laterally and antheriourly right middle lobe ( frightening but unforgiven) she did recovered after hard medication.(i still used with her for many time imediatte auscultation before I told her a small part of my fetish and bougt a stethoscope)

I diagnosed MVP in a female with a wonderful chest once

I heard a murmur when I was stething myself once. This was long before my doctor heard it. So when he told me I had a murmur I wasn't surprised at all.

In two people heard an irregularly irregular rhythm - later confirmed to be atrial fibrillation on an ECG or EKG as our US friends call it

I did once auscultate a guy and hear an obvious systolic murmur. He had other health problems and when I told him I could hear a murmur he smiled and said he knew about it and was seeing if I would notice it. So I guess I passed his test.

The most arousing experience I ever had was at the beginning of my pladoc "career". I stethed my 17 years old gf, and I realized she had a very sexy 3. heart sound. I have it still in my ears and in my heart. It was so arousing. We always had sex after ther heart exam.

I have found quite a few things, never any heart issues thank goodness. The scariest by far was two lumps in the breast tissue of a man. Crazy as it is, that was almost 5 years ago and I can still mentally feel them. He did take my advice and go see a doctor who thankfully rulled out CA. I think we both slept better knowing that. It was shocking to say the least.

Mashie

I only heard some PVC-s, while I auscultated my patient, murmurs are interesting, but I wouldn't want to hear one during stethplay, because I prefer the slow and clear/steady lub dubs.

Not quite while auscultating someone, but I did correctly identify Whooping Cough in a colleague after a doctor at a walk-in clinic missed it. Thankfully his own doctor was a bit more attentive, but only after he'd been spreading germs around the office for a week.

I have seen some - from my opinion - high bp's. I suggested the "patient" to see a real doctor to have it checked. Fortunally it never have been any serious problems. I think it will be a killer for this fetish if you actually discovered something serious in your play.

My girlfriend has very slow heart rate (70bpm even after running))) As she say, she had a some kind of arrhytmia

I recently had the pleasure of playing doctor with a young woman who is a regular on this site. She was a great patient and let me listen to her bare chested. I don't know if it was nerves or what, but she was really throwing some PVC's. Between the PVC's, she had a good solid s1 s2 and flawless rhythm, but she would have about 10-15 normal beats, a couple of PVC's, another dozen or so normal beats, more PVC's. She's not a big coffee drinker, so she wasn't loaded up on caffeine. All in all, I probably spent two hours listening to her heart. I listened to her a long time while she was asleep, she was down to 55 beats per minute when she was sleeping, fewer PVC's while sleeping. She has one of the most amazing hearts I have had the pleasure of listening to. She is a D cup, so I had to lift her left breast to find and listen to her apex. She also let me examine her breasts. As for diagnosis, I attributed the frequent PVC's to a healthy young heart that likes to show off a bit for the stethoscope. She listened to me, too, but she really likes being on the patient end of the stethoscope.

Seth you should advise your friend to see a cardiologist. Having that many PVC's is not normal. Its normal for everyone to have a few PVC's ( from babies to the elderly)but from your description she is experiencing far to many for a healthy young person. Clinically we normally treat when a patient experiences 10 PVc's a min. So I expect they may want to have a 24 hr tape of her heart rhythm.

Possible causes:

- Hypertension.

- Heart disease, including acute myocardial infarction, valvular heart disease, cardiomyopathy, ventricular hypertrophy and cardiac failure.

- Electrolyte disturbances, including hypokalaemia, hypomagnesemia, hypercalcaemia.

- Drugs, including digoxin, aminophylline, tricyclic antidepressants, cocaine, amfetamines.

- Alcohol excess.

- Infection.

- Stress.

- Surgery.

- Hyperthyroidism.

- Possibly, central sleep apnoea is linked to ventricular ectopics (VE's)

- Stimulants such as caffeine may have a role, although this has not been proven for ventricular extrasystoles

Just recently: 3rd heartsound and mitral valve prolapse. It was great