auscultation Flashcards

1
Q

auscultation placement

A

four anterior bilateral
and six posterior
each on midaxillary

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2
Q

what are the two main parts of auscultation ?

A

Air entry
-compares aerated areas of the lungs to non aerated (both sides) Ex. pneumonia decreases air entry heard to RLL
breath sounds -
compares normal breath sounds to abnormal or adventitious sounds.

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3
Q

breath sounds

A
sounds made by flow 
pitch 
intensity 
quality 
duration of insp/ exp phases
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4
Q

tracheal breath sound

A

Loud, high-pitched breath sound heard directly over the trachea with an equal inspiratory and expiratory component

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5
Q

bronchial sound

A

Sounds over trachea and mainstem bronchi. Categorized as high pitched, high intensity, loud, and long expirations.

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6
Q

vesicular breath sounds

A

Normal parynchyma sounds

Categorized as: low pitched, low intensity, soft & short expiration. “Breezy – Rustling”

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7
Q

bronchovesicular breath sounds

A

Combination of the two
Mostly over major bronchi
Categorized as: moderate pitch and intensity

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8
Q

what can dimished breath sounds tells us

A

suggest shallow breathing or hyperinflation of the lung with emphysema.

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9
Q

what does bronchial breath sounds suggest

A

suggest an increased in lung density as occurs with pneumonia

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10
Q

wheezes

A

continuous heard most often on exhalation
can be short/ long
related to flow (airway narrowing)

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11
Q

crackles

A

discontinuous- heard most often on inspiration
Movement of excessive secretions or fluid in the airways as air passes through
Collapsed airways “pop” open during inspiration.

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12
Q

stridor

A

monophonic high pitched wheeze heard over the upper airway in patients with croup or epiglottis.

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13
Q

pleural friction rub

A

leather rub, occurs when the inflamed pleural membranes (pleurisy) rub together

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14
Q

fine crackles

A

high pitched

opening of collapsed alveoli

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15
Q

adventitious sound for COPD

A

crackles- early insp

wheezes- exp

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16
Q

adventitious sound for asthma

A

crackles- insp

inp/ exp

17
Q

adventitious sounds for interstitial fibrosis

A

late insp crackles

18
Q

sarcoidosis ( inflammation of the lung)

A

crackles- late insp