Lung sounds Flashcards
Diseases that have lower airway expiratory wheezes
Asthma
COPD
Examples of “fixed upper airway obstruction” breathing
Mediastinal mass
Epiglottis
Variable upper airway obstruction with wheezes on inspiratory phase
extrathoracic
Variable upper airway obstruction with wheezes on expiratory phase
intrathoracic
Only hear this on anterior auscultation
R middle lobe
Upper airway discontinuous flow
Rhonci
Common condition to hear rhonci
Bronchitis
Lower airway discontinuous flow
Crackles
When do you hear wet crackles
Abscess, pneumonia, CHF
When do you hear dry crackles
Fibrosis, scarring
What can happen to the trachea when there is a large lung consolidation?
The trachea can be pulled toward the consolidation because the lung contracts
Obscured right heart border
R middle lobe pneumonia
Small heart, flat diaphragms, dark fields
Air trapping
Which cause of COPD has air trapping in a smoker and which does not?
Emphysema does!
Chronic bronchitis does not have air trapping
How do you describe breath sounds if airway narrows superior to carina
“fixed stridor upper airway breathing”
