Lung Sounds

Question 1

Front vs back

Answer 1

Easier to hear in back

Question 2

Where to listen to

Answer 2

1. Right under midclavical
2. Middle between clavicle and nipple
3. Nipple line
4. Little anterior & posterior to midaxillary
5. Shoot straight across to back for back spots

Question 3

AAC

Answer 3

Causes for wheezing
Asthma
Anaphylaxis
COPD

Question 4

Rhonchi

Answer 4

Harsh sound
Hypersecretion of mucus or infection in lungs
Most likely coughing up green or yellow
Ex. Pneumonia

Question 5

Rales

Answer 5

“Slurping a straw”
Fluid in the lungs
What pulmonary edema sounds like
Occurs in congestive heart failure

Rales on one side could be CHF or early onset pneumonia
Bilateral + high BP + pink frothy sputum = more likely CHF

Question 6

Diminished or absent lung sound

Answer 6

One side: pneumothorax, + hypotension means tension pneumothorax
Bilateral: Severe AAC

Question 7

Stridor

Answer 7

Upper airway block
Will hear across the room
Think 5:
Croup - pediatric only
Epiglottitis
Inhalation burn
Anaphylaxis
Foreign body airway obstruction

Question 8

Crowing

Answer 8

Harsh sound when inhaling
Prompt transport