Littmann Learning vs Feline Grimace Scale
Price, ratings, monetisation and update history for both apps, side by side — with what reviewers say about each.
Littmann Learning
This app provides access to real patient heart and lung sounds for auscultation education. It offers visual and audio displays, self-paced learning modules, and background reading material to help users recognize various heart and lung sounds.
- Real patient heart and lung sounds
- Visual and audio displays
- Self-paced learning modules
- Graduated learning difficulty
- Background reading material
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Littmann® Learning, powered by eMurmur®, is a mobile app for cardiac and pulmonary auscultation education. Built for students, educators, and clinicians, it gives you access to real patient heart sounds, lung sounds, and guided learning modules – available anytime, anywhere. Train your ear and strengthen your stethoscope skills with a rich library of high-fidelity recordings and interactive lessons designed to improve stethoscope auscultation and clinical listening confidence. Whether you are learning the basics or refining advanced listening skills, Littmann Learning helps you recognize and distinguish normal, benign, and pathological heart and lung sounds. Compare healthy and abnormal findings, reinforce pattern recognition, and build confidence for the classroom, simulation lab, and clinical practice. Build confidence with heart and lung sound recognition. Learn cardiac and pulmonary auscultation with Littmann Learning. Littmann Learning includes a library of curated heart and lung sounds, including: * A range of normal heart sounds * Abnormal heart sounds, including systolic, diastolic, and continuous murmurs * Key pathologies like aortic stenosis, aortic insufficiency, mitral insufficiency, mitral stenosis, hypertrophic cardiomyopathy, ventricular septal defect, atrial septal defect, patent ductus arteriosus, or tetralogy of Fallot * Additional sounds such as clicks, splits, S3/S4, PAC/PVC * A range of normal lung sound recordings * Abnormal lung sounds, including crackles, wheezes, and rhonchi Learn by listening and by seeing. Visual tools such as phonocardiograms and sound displays help connect what you hear through the stethoscope with the underlying acoustic patterns, making it easier to identify important cardiac and pulmonary findings. Littmann Learning is designed for anyone learning heart and lung auscultation, including: nursing students, medical students, interns, residents, fellows, physicians, nurses, PAs, or EMTs. DISCLAIMER: THIS APP DOES NOT PROVIDE MEDICAL ADVICE OR IS AN ATTEMPT TO PRACTICE MEDICINE. The information including but not limited to, text, graphics, images and other material contained on this app are for informational purposes only. No material on this app is intended to be a substitute for professional medical education, advice, diagnosis or treatment. –- Available in-app purchases Subscription titles, content and length: * Basic Monthly — Access to Listening modules for 1 month. * Semester Pass — Full access for 6 months. * Annual Pass — Full access for 12 months. Payment will be charged to iTunes Account at confirmation of purchase. Type of subscriptions: Auto-renewable. Subscription automatically renews unless auto-renew is turned off at least 24-hours before the end of the current period. Account will be charged for renewal within 24-hours prior to the end of the current period; the cost for renewal is the same as the initial charge. Subscriptions may be managed by the user and auto-renewal may be turned off by going to the user’s Account Settings after purchase. ---- Privacy Policy: https://www.solventum.com/en-us/home/legal/website-privacy-statement/ Terms of Use: https://info.littmann-learning.com/legal/learning/en/tou_littmann_learning.html
Feline Grimace Scale
Assess acute pain in cats using facial expression changes. This scientifically validated tool provides real-time scoring and educational resources, including practice sessions with images and drawings, to improve feline pain management globally.
- Facial expression-based pain assessment
- Real-time pain scoring
- Image and drawing-based learning
- Practice session for users
- Scientifically validated tool
- Improves feline pain management
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This application is a quick and easy-to-use tool for assessment of acute pain in cats based on changes in facial expressions. This tool underwent rigorous scientific validation and it was shown to be valid and reliable for the evaluation of pain in cats with different medical and surgical conditions, using both image- or real-time evaluation. The Feline Grimace Scale App teaches users about this tool and facilitates real-time pain scoring in cats. It has several drawings and images to facilitate learning, including a practice session. This App can be used by any person. Ultimately, the Feline Grimace Scale App aims to improve feline pain management across the globe by increasing awareness, providing education, and facilitating the practical assessment of acute pain in cats.
Screenshots
Verdict
The clearest difference is in-app purchases: Feline Grimace Scale at none against Littmann Learning's 11. Feline Grimace Scale also leads on review sentiment (76% vs 48%). Littmann Learning's advantage is ratings volume (856 vs 15) and update cadence (every 6 weeks vs every 3 months). On price, rating, ads and device support there is nothing between them.
Scored on Price · Rating · Positive reviews · Number of ratings · Update frequency · Ads · In-app purchases · Monetization · Best chart rank · Devices · Requires iOS
Both are free to download. Littmann Learning sells 11 in-app purchases, starting at $3.99 per month. Feline Grimace Scale asks for nothing beyond the download.
On the App Store both sit at effectively the same score — 4.9 for Littmann Learning against 4.9 for Feline Grimace Scale. That said, the two scores are not equally well evidenced: Littmann Learning has 856 ratings behind it against 15, so its average is the more settled of the two. Written reviews are what separate them: 48% of Littmann Learning's written reviews are positive against 76% of Feline Grimace Scale's.
Littmann Learning ships an update every 6 weeks, Feline Grimace Scale every 3 months. The most recent releases landed on October 29, 2026 and October 30, 2026 respectively.
| Parameter | Littmann Learning | Feline Grimace Scale |
|---|---|---|
| Price | Free | Free |
| Rating | 4.9 (856 ratings) | 4.9 (15 ratings) — better |
| Positive reviews | 47.6% of reviews | 76.5% of reviews — better |
| Number of ratings | 856 — better | 15 |
| Update frequency | Every 6 weeks — better | Every 3 months |
| Ads | No | No |
| In-app purchases | Yes | No — better |
| Monetization | Free with in-app purchases | Free — better |
| Devices | iPhone, iPad, iPod | iPhone, iPad, iPod |
| Requires iOS | 15.6 | 15.0 — better |
| Further details — not scored | ||
| Size | 19 MB | 63 MB |
| Age rating | 17+ | 12+ |
| Developer | CSD Labs | Steagall Laboratory |
Customer experience
Littmann Learning
Feline Grimace Scale
In-app purchases
Littmann Learning
- Standard Plan - 1 month$3.991 Month
- Premium Plan - 1 month$6.991 Month
- Basic Monthly$8.991 Month
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- Standard Plan - 1 year$19.991 Year
- Semester Pass$29.996 Months
- Premium Plan - 1 year$39.991 Year
- Full Version$44.991 Year
- Annual Pass$49.991 Year
- CE - Fundamentals$124.99
- CE -Advanced$174.99
- CE - Intermediate$249.99
Feline Grimace Scale
No in-app purchases
Questions
Is Littmann Learning free?
Is Feline Grimace Scale free?
Which has better reviews, Littmann Learning or Feline Grimace Scale?
Do Littmann Learning or Feline Grimace Scale have ads?
Which is updated more often, Littmann Learning or Feline Grimace Scale?
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