The stethoscope is a
medical
Medicine is the science and practice of caring for a patient, managing the diagnosis, prognosis, prevention, treatment, palliation of their injury or disease, and promoting their health. Medicine encompasses a variety of health care practic ...
device for
auscultation
Auscultation (based on the Latin verb ''auscultare'' "to listen") is listening to the internal sounds of the body, usually using a stethoscope. Auscultation is performed for the purposes of examining the circulatory and respiratory systems (hea ...
, or listening to internal sounds of an animal or human body. It typically has a small disc-shaped resonator that is placed against the skin, and one or two tubes connected to two earpieces. A stethoscope can be used to listen to the sounds made by the
heart
The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide t ...
, lungs or
intestines
The gastrointestinal tract (GI tract, digestive tract, alimentary canal) is the tract or passageway of the digestive system that leads from the mouth to the anus. The GI tract contains all the major organs of the digestive system, in humans ...
, as well as blood flow in
arteries
An artery (plural arteries) () is a blood vessel in humans and most animals that takes blood away from the heart to one or more parts of the body (tissues, lungs, brain etc.). Most arteries carry oxygenated blood; the two exceptions are the pul ...
and
vein
Veins are blood vessels in humans and most other animals that carry blood towards the heart. Most veins carry deoxygenated blood from the tissues back to the heart; exceptions are the pulmonary and umbilical veins, both of which carry oxygenated b ...
s. In combination with a manual
sphygmomanometer
A sphygmomanometer ( ), a blood pressure monitor, or blood pressure gauge, is a device used to measure blood pressure, composed of an inflatable cuff to collapse and then release the artery under the cuff in a controlled manner, and a mercury (e ...
, it is commonly used when measuring
blood pressure
Blood pressure (BP) is the pressure of circulating blood against the walls of blood vessels. Most of this pressure results from the heart pumping blood through the circulatory system. When used without qualification, the term "blood pressure" r ...
.
Less commonly, "mechanic's stethoscopes", equipped with rod shaped chestpieces, are used to listen to internal sounds made by machines (for example, sounds and vibrations emitted by worn ball bearings), such as diagnosing a malfunctioning automobile engine by listening to the sounds of its internal parts. Stethoscopes can also be used to check scientific vacuum chambers for leaks and for various other small-scale acoustic monitoring tasks.
A stethoscope that intensifies
auscultatory sounds is called a phonendoscope.
History
![Toraube2](https://upload.wikimedia.org/wikipedia/commons/f/f6/Toraube2.jpg)
The stethoscope was invented in
France
France (), officially the French Republic ( ), is a country primarily located in Western Europe. It also comprises of Overseas France, overseas regions and territories in the Americas and the Atlantic Ocean, Atlantic, Pacific Ocean, Pac ...
in 1816 by
René Laennec
René-Théophile-Hyacinthe Laennec (; 17 February 1781 – 13 August 1826) was a French physician and musician. His skill at carving his own wooden flutes led him to invent the stethoscope in 1816, while working at the Hôpital Necker ...
at the
Necker-Enfants Malades Hospital in
Paris
Paris () is the capital and most populous city of France, with an estimated population of 2,165,423 residents in 2019 in an area of more than 105 km² (41 sq mi), making it the 30th most densely populated city in the world in 2020. S ...
.
['Laennec, R. T. H.; Forbes, John, Sir, ]
A Treatise on the Diseases of the Chest and on Mediate Auscultation
' (1835). New York : Samuel Wood & Sons; Philadelphia : Desilver, Thomas & Co. . It consisted of a wooden tube and was
monaural
Monaural or monophonic sound reproduction (often shortened to mono) is sound intended to be heard as if it were emanating from one position. This contrasts with stereophonic sound or ''stereo'', which uses two separate audio channels to reproduc ...
. Laennec invented the stethoscope because he was not comfortable placing his ear directly onto a woman's chest to listen to her heart.
He observed that a rolled piece of paper, placed between the individual's chest and his ear, could amplify heart sounds without requiring physical contact. Laennec's device was similar to the common
ear trumpet
An ear trumpet is a tubular or funnel-shaped device which collects sound waves and leads them into the ear. They were used as hearing aids, resulting in a strengthening of the sound energy impact to the eardrum and thus improved hearing for a dea ...
, a historical form of hearing aid; indeed, his invention was almost indistinguishable in structure and function from the trumpet, which was commonly called a "microphone". Laennec called his device the "stethoscope"
(''
stetho-'' + ''