breath sounds and dx Flashcards
if you hear crackles during late inspiration, it might mean
atelectesis, fibrosus, edema or compression of lung from pleural effeusion
if you hear a wheeze upon inhale, it implies
rigid airway: bronchospasm, stenosis, or impaction
if you hear a wheeze upon exhale, it implies
unstable airways that have collapsed, assc with obstruction
if you hear a friction rub
think pleural inflammation
where are friction rubs usually heard
lower lateral chest wall
when using egophony, you hear an “a” instead of an “E”. this means what?
that area of lung may be compressed
when using bronchophony (99) the sound is transmitted clearly, instead of sounding muffled. what does this mean
that region of lung is airless, ie pneumonia atelectesis
what clinical presentation would you expect from atelectesis?
hear crackles in late inspiration, increased fremitus,
what would help atelectesis?
deep breathing, cough and airway clearance
what clinical presentation would you expect from pneumonia?
crackles throughout inspiration, segmental distribution, increased fremitus, bronchial breath sounds
what helps in pneumonia?
ACT like postural drainage, percussion, cough techniques
left heart failure has this clinical presentation
rales throughout inspiration, more in dependent areas.
what helps right heart failure?
manage fluids, positional changes, HOB up
what is the clinical presentation of pulmonary fibrosis
late inspiration rales that worsen with exertion, hear “velcro”
what is the clinical presentation of chronic bronchitis
diminished breath sounds, a prolonged expiration, wheezing and persistent cough. decreased fremitus
