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"First off, eliminate all of the accessories like the alternator, power steering pump, A. C. compressor by removing the belts one at a time. If the noise is gone, of course the problem is a belt driven accessory. If the noise is still there you should be able to hear it more clearly by not having the accessories whirring away.
Try to track the noise down with the stethoscope tip or the end of the hose suckered onto the engine surface, sealing the end. Spend a full ten minutes putting the hose all over the engine, not just where it is loudest. Try to envision the parts moving inside the engine. You are training your ear, not just listening, so don't get in a big rush except to be sure that the engine doesn't overheat. A trained ear can tell you which piston is slapping or which rocker arm is clacking from outside the engine so if you come out from under the car proudly saying, "it's the bottom end" get your dumb-ass back under there until you can tell it's coming from the oil pump or the 3rd piston back on the driver's side or the flywheel or the camshaft.
Rod knocks are loudest at higher speeds (over 2500 RPM) Feathering the gas pedal may result in a distinctive back rattle between 2500 and 3500 RPMs.
Bad rod knocks may double knock if enough rod bearing material has been worn away allowing the piston to whack the cylinder head in addition to the big end of the connecting rod banging on the crankshaft rod journal. It will sound like a hard metallic knock (rod) with an alternating and somewhat muffled aluminum (piston) klock sound.
Determining which cylinder contains the noisy parts may be aided by shorting out the plug wires one by one with a common low voltage test light. Now you won't get the bulb to light up but it is a convenient way to short the cylinders without getting zapped or damaging the ignition coil.
Attach the alligator clip to a convenient ground, away from fuel system components, and pierce the wire boots at the distributor end of the wire.
If the noise is changed when the plug wire is shorted to ground, you can figure that the problem is in the reciprocating bottom end parts. (piston, wrist pin, connecting rod or connecting rod bearing)
The reason the sound changes is that when you short the cylinder plug wire you are stopping the burning of fuel in the combustion chamber that is slamming the piston downward making the inside of the big end of the connecting rod bang against it's connecting rod journal. Or in the case of piston slap, no combustion changes how the piston is shoved hard sideways against the cylinder wall.
If you get a change in the sound when you short a cylinder out it may become moot as to what the problem is because the oil pan and cylinder head must be removed to correct the problem."
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