Auscultation

Question 1

assess quality of chest sounds

Answer 1

vesicular (normal) and bronchial (harsh sounding, inspiration n expiration are equal and there is a pause in between -> consolidation)

Question 2

assess volume of chest sounds

Answer 2

quiet(reduced) breath sounds - reduced air entry (consolidation,collapse, pleural effusion)

Question 3

what are the different added sounds and what do they suggest

Answer 3

wheeze - asthma/copd
coarse crackles - pneumonia,bronchiectasis,fluid overload
fine crackles - pulmonary fibrosis

Question 4

how to assess vocal resonance

Answer 4

ask patient to say 99 repeatedly and auscultate. increased volume - increased tissue density
decreased volume - fluid outside lung