Breath Sounds Flashcards
Sound through solid vs. gas
Best through solid
Worst through gas
Accessory muscles for breathing
Anything else besides the diaphragm
Sign = neck muscles tense when breathing
Signs of respiratory distress
- Accessory muscles
- Cannot speak in full sentences
- Upright vs tripod positioning (COPD)
- Blue or dusky coloring (Hgb saturation)
- Paradoxical breathing
Tactile fremitus
Put hands on patient and ask them to speak vowel or low frequency sounds to feel vibrations
Look for assymetery
Pleural effusion = decrease vibration
Consolidation = increase
Hyperresonace or dullness during percussion
Can indicate a pleural effusion or solid in the lung
Obstructive lung disease = hard to ?
Exhale
Wheezes
Produced during exhalation as air is forced through narrowed pathways
Bronchoconstriction
Edema
Bronchiestasis
Bronchitis
Crackles
From opening of collapsed alveoli
Fibrosis
Edema
Infection
Velcro crackle
Pulmonary fibrosis
Sound that a dense consolidation would conduct in sounds of the central bronchi
Whooooooo! Like a ghost
Sound travels faster in solids than gas
Egophony
Eeeeeeee is ok area
Aaaaaaaa (goat) is affected area
When would decreased breath sounds occur
Pleural effusion
Severe COPD
