I bought the MDF Sprague Rappaport after the tubing of my Littmann started to disintegrate. The MDF is an acceptable stethoscope which works well. I am still getting use to some of the differences from the older Littmann. The respiratory and cardiac sounds do appear to be clearer and crisper using this stethoscope. However the volume appears to be a little decreased. I am not sure if this is due to the different ear buds than the Littmann. I used the hard/dense ear pieces in the littmann and the MDF does not have an equivalent set. However, with increasing use I have been able to get used to the decreased volume and it is only in very early pulmonary fibrosis or other diseases with subtle auscultation findings have I experienced any difficulty. I would recommend the stethoscope but not to a student. Subtle findings may be more difficult to hear.Get more detail about MDF Sprague Rappaport Stethoscope > MDF 767 > BlackOut > All Black.
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