Auscultation Flashcards

1
Q

Reduced breath sounds

A
Severe asthma - bronchoconstriction
Anaphylaxis - bronchoconstriction
Obstruction - foreign body, tumor, etc
PTX
Pleural effusion 
Pneumonia - consolidation 
COPD 
Poor respiratory effort - see causes of low RR
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2
Q

Bronchial breathing

A

Consolidation (pneumonia)

ILD

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3
Q

Fine inspiratory crackles

A

Pulmonary edema
COPD
Consolidation (pneumonia)
ILD / fibrosis

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4
Q

Coarse crackles - heard both inspiration and expiration

A

Bronchiectasis

ILD / fibrosis

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5
Q

Pleural rub

A

Pleuritis / pleurisy - usually with pneumonia

PE

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6
Q

Stridor

A
Anaphylaxis - laryngeal edema
Inhaled foreign body
Epiglottitis
Croup
Laryneal papillomas 
Laryngomalacia (congenital)
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7
Q

Inspiratory monophonic wheeze

A

Inhalation of foreign body
Tracheal obstruction - internal (e.g. tumor) or external (compression - e.g esophageal tumor)
Trachea blunt trauma - causes change in voice
Vocal cord paralysis - causes change in voice

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8
Q

Expiratory monophonic wheeze

A

Same as insipiratory monophonic - trachea is the cause

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9
Q

Expiratory polyphonic, high-pitched wheeze

A

Asthma exacerbation
Pulmonary edema
Anaphylaxis
Wheezy bronchitis (infection)

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