PD lungs

Question 1

Vesicular breath sounds

Answer 1

normally heard best over the posterior chest

Question 2

bronchial breath sound

Answer 2

normally heard over the trachea and right apex

Question 3

vesicular vs bronchial

Answer 3

• vesicular sounds inspiration is longer than expiration

- bronchial sounds expiration is longer than inspiration

Question 4

crackles

Answer 4

• discontinuous sounds
• resembling the sound produced by rubbing strands of hair together in front of the ear or by pulling apart strips of velcro

Question 5

describe the types of crackles

Answer 5

• course crackles = loud low pitched and fewer in number

- fine crackles = soft, higher pitched and greater in number

Question 6

wheezes

Answer 6

• high pitched continuous musical sound mostly on expiration

- sitting up as high as they can (tripod position). Try to open up their chest to get more air

Question 7

stridor

Answer 7

• loud, musical sound of definite and constant pitch that indicates upper airway obstruction confined to inspiration over the neck

Question 8

pleural rub

Answer 8

• loud grating or rubbing sounds predominantly during expiration

Question 9

describe some common differential diagnosis that produce CRACKLES

Answer 9

• Pulmonary fibrosis
• elevation of left atrial pressure
• MI
• Pneumonia