Adventitious Lung Sounds

Question 1

Crackles

Answer 1

fine = high pithed popping noise heard @ end of inspiration
coarse (worse) = low pitched gurgling during inspiration and expiration
indicates: pneumonia, HF, pulmonary edema

Question 2

Wheeze

Answer 2

high pitched musical sound similar to squeak
priority = relieve bronchoconstriction (give SA bronchodilator e.g. albuterol)
indicates: asthma

Question 3

Ronchi

Answer 3

low pitched, coarse, loud, snoring tone during expiration
indicates: chronic bronchitis

Question 4

Pleural friction rub

Answer 4

low pitched coarse grating sound during inspiration and expiration

Question 5

Stridor

Answer 5

life threatening
harsh high pitched breathing due to obstruction in upper airway
indicates: aspiration of foreign object, anaphylaxis, epiglottitis