Preferred position to listen to Heartbeat

I'm a doc, not a patient, but I don't think I could pick one. I like to examine the heart in all positions. I love maneuvering the stethoscope under my patient's shirt and around her chest while she sits. I usually feel the patient's pulse as I listen to tricuspid and mitral. I then have her stand up and walk a few paces while I check her gait. Then ask her to remove her shirt for auscultation while standing. You can usually count on a pounding heart with the patient standing and chest fully exposed.

I take a good long listen to all the heart sounds a third time with the patient comfortably lying down. Then, I have her turn on her left side, away from me, and I reach over and listen to her apex pumping away just beneath my stethoscope.

It's all great fun 😃

Then ask her to remove her shirt for auscultation while standing. You can usually count on a pounding heart with the patient standing and chest fully exposed.

I take a good long listen to all the heart sounds a third time with the patient comfortably lying down. Then, I have her turn on her left side, away from me, and I reach over and listen to her apex pumping away just beneath my stethoscope.

Do you lift your patient's left breast to listen up under it or have her hold her breast up for you to listen at her mitral? If you lift her breast, do you lift it with your free hand or push it up with the steth?

Do you lift your patient's left breast to listen up under it or have her hold her breast up for you to listen at her mitral? If you lift her breast, do you lift it with your free hand or push it up with the steth?

Gotta get a good listen at mitral! I could go either way, and sometimes I'll try both to see what sounds best.

My real doctor listens to my chest only in sitting position.

But as a play doctor I would want to listen to my patient, both in sitting and supine position.

When I examine a patient, I prefer a fully supine position.

Sounds is definitely not the same between supine and standing position.

Normally just have it done sitting but, but occasionally laying down or standing.

Either is fine with me.