Pulm Breath Sounds Flashcards
Name two “normal breath sounds”
vesicular
bronchial
What is a vesicular breath sound?
soft INSPIRATORY sound with minimal sound on expiration
What is a bronchial breath sound?
tubular, hollow sound
heard over large airways
louder and higher pitched than vesicular
another name for “rales”
crackles
Description of rales
scratchy sound
occur with processes that cause fluid accumulation in alveoli
bubbling sound
roll strands of hair b/w your fingers near your ear
what three diagnoses have rales as a presenting symptom?
pulmonary edema
pneumonia
pulmonary fibrosis
describe pulmonary edema rales
“diffuse wet rales”
describe pulmonary fibrosis rales
“dry sounding, fine rales”
think fireplace log
describe ronchi
“sonorous wheeze” (??)
harsh gurgling noise
snoring
“ronchi occur in the bronchi”
(secretions that collect in larger airways)
describe wheezes
whistling-type noises
have a musical quality
can be high or low pitched
high - may sound like squeaking
low - may have snoring/moaning quality
produced during EXPIRATION
you’re hearing air forced through airways narrowed by bronchitis, secretions or edema
stridor - describe
harsh inspiratory wheeze of trachea
can be heard w/o stethoscope
loud, high-pitched crowing sound
egophony - describe
"”eeee” changes to “aaaa” with consolidation
whispered pectoriloquy - describe
a whispered word will be magnified at area of consolidation
diminished breath sounds - describe
air or fluid in lungs, therefore, reduced airflow
over-inflation
aka air trapping, such as with emphysema
