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Lung Sounds
Lung Sounds
48
Medical
Graduate
12/04/2015

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Term
sound hear over large airways
Definition
bronchial
Term
when are bronchial sounds abnormal
Definition
when heard at a distance from large airways
Term
what do bronchial sounds sound like
Definition
tubular quality
sound of air blowing through a cardboard tube
Term
are bronchial sounds louder in expiration or inspiration
Definition
expiration
Term
where is a bronchial lung sound best heard
Definition
over the trachea
Term
bronchial breath sounds can also be heard wehre (3)
Definition
on the back between the scapula
at the lung apices espiecally on the right
may also be heard at the axilla
Term
when bronchial lung sounds are heard at a distance away from large airways, what do they signify
Definition
consolidation
Term
why would bronchial sound be present due to consolidation
Definition
better transmissino of centrally generated lung sound through the consolidated lung
Term
which breathing phase has a more central orgin, expiratory or inspiratory
Definition
expiratory
Term
breath sound heard over the cehst at a distance from large airways
Definition
vesicular
Term
describe a vesicular breath sound
Definition
soft sound that has been compared to the sound of wind blowing through the leaves of a tree
Term
most common lung sound heard in the absence of lung disease
Definition
vesicular
Term
which breathing phase are vesicular sounds louder in, expiratory or inspiratory
Definition
inspiratory
Term
the vesicular breath sound is commonly decrased with what (2)
Definition
chronic obstructive lung disease
over sites of pneumonia in the early stages of the illness
Term
Vesicular soudns are usually but not always decreased or absent in what types of conditions and 3 examples of such a condition
Definition
condition where the ventilation to an area of the lung is impaired
pneumothorax
misplaced endotracheal tube
mucus plugging
Term
discontinuous, intermittent explosive sounds
Definition
fine crackles
Term
what are fine crackles caused by
Definition
airway opening
Term
Laennec describes fine crackles as what
Definition
crackling noise of salt is heated on a frying pan or the crackling sound of wood burning
Term
crackles can also be caused by what
Definition
fluid in the airways
Term
two categories for crackles
Definition
coarse and fine
Term
crackles are usually a sign of
Definition
disease
Term
can a person without pulmonary disease present with crackles
Definition
yes
Term
coarse crackles sound like what
Definition
intermittent bubbling sounds
sound of water being poured from a bottle
Term
what are coarse crackles caused by
Definition
airway opening and secretions in the airway
Term
most common conditions associated with coarse crackles (2)
Definition
CHF
pneumonia
Term
characteristics of coarse crackles vs low crackles
Definition
coarse are lower pitched, less intense, and of longer duration than fine
Term
wheezes sound like what
Definition
high pitched, whistling, or sibilant sounds
Term
what is wheezing caused by
Definition
airway narrowing
secretions
Term
wheezes vs crackles
Definition
wheezes are continuous
crackles are intermittent
Term
wheezing can be a result of what (6)
Definition
bronchospasm
airway edema
secretions
endobronchial tumors
extrinsic compression of an airway
CHF
Term
wheezing in CHF is likely d/t what
Definition
increased fluid in peribronchial lymphatics causing airway compression
Term
what are squawks
Definition
short wheezes
Term
squawks are associated with what diseases (2)
Definition
hypersensitivity pneumonitis and pneumonia
Term
squawks are heard in what general group of conditions and 1 example from that group
Definition
alveolitis
pneumonia
Term
Rhonchi as a sound
Definition
low pitched, snore-like sounds
Term
what are rhonchi caused by
Definition
airway secretions and airway narrowing
Term
rhonci are usually cleared after what
Definition
coughing
Term
rhonchi are more similar ot what crackles or wheezes
Definition
wheezes as rhonchia re described as continous
Term
pleural rub sounds like what
Definition
like 2 pieces of rubber being rubbed together
leathery quality
Term
what is the plerual rub sound caused by
Definition
inflamed pleural surfaces rubbing against each other
Term
most common cause for pleural rub
Definition
pneumonic process that has spread to the plerua
Term
what does stridor sound like
Definition
a wheezing noise but is usually more prominent during inspiration
Term
what is stridor caused by
Definition
upper airway obstruction
Term
stridor is loudest where (3)
Definition
mouth
neck
upper trachea
Term
difference between stridor and wheeze
Definition
stridor tends to have an inspiratory predominance
Term
external observation findings when hearing stridor
Definition
use of accessory mm of respiraton and retraction of the supraclavicular fossa with inspiration
Term
potential causes for upper airway obstruction resulting in stridor sounds (3)
Definition
aspiration of food/foreign body
exam of the neck for masses, scars, and tracheal deviation
checked for hives to clue the presence of angioneurotic edema of the glottis
Term
stridor heard immediately after extubation may indicated what
Definition
need for reintubation
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