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Breath sounds
NOTE
Question | Answer |
---|---|
Wheeze | Continuous, musical/whistling *bronchospasm, collapse, secretions, foreign body |
Rhonci | Continuous low pitch snoring/gurglin *air passing through airways |
Stridor | Continuous high pitch *airway obstruction |
Crackles/Rales | Discontinuous high pitch - with inspiration only *PNA, atelectasis, pulmonary edema |
Pleural friction rub | Continuous dry crackle, heard over area of pain *inflammation |
Trachial and bronchiole sounds | heard centrally, loud tubular sounds. Inspiration is shorter than expiration with a pause |
Vesicular sounds | High pitched, heard distally. Inspiration is longer than expiration without a pause |
If a high pitched sound is auscultated centrally, what does this indicate? | PNA - bronchiole sounds that are heard centrally are abnormal |
Diminished sounds can indicate | emphysema, sever congestion or hypoventiltion |
Absent lung sounds | lung collapse or pneumothorax |
What 3 things can cause an increase in loudness and distinction of voice sounds | Consolidation, Atelectasis or fibrosis |
Bronchophony | increased vocal clarity of spoken words - 99 |
Egophony | long E sounds change to nasal-sounding A |
Whispered pectoriloquy | Recognition of whispered words |