Confirmation of findings from cardiac auscultation can be obtained with a cardiac ultrasound (echocardiography - less invasive) and cardiac catheterization (more invasive).
However, pulsatile tinnitus can be a symptom of intracranial vascular abnormalities, and should be evaluated for bruits by a medical professional with auscultation over the neck, eyes, and ears.
As a physician, he developed the accurate observation of the clinical signs of illness, and studied the unaided auscultation of respiratory and cardiac ailments.
