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19 Cards in this Set
- Front
- Back
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what does normal (vesicular) breath sounds sound like? |
- rustling leaves - quieter in the periphery and bases |
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what does decreased breath sounds sound like? |
- quieter than normal |
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what is the implication of decreased breath sounds? |
- reduced gas movement - presence of an abnormal barrier between the lung & the stethescope eg. obesity, pleural abnormalities (such as effusion, thickening, pneumothorax) |
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what does absent breath sounds sound like? |
- nothing is heard |
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what is the implication of absent breath sounds? |
- large pneumothorax - effusion |
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what does bronchial breath sounds sound like? |
- harsh - loud in expiration |
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what is the implication of bronchial breath sounds? |
- consolidated lung |
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what do transmitted sounds sound like? |
- gurgle - audible w/out stethoscope - widespread |
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what are the implications of transmitted sounds? |
- needs to cough - if unable, cough may need to suction |
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what do course crackles sound like? |
- heard on expiration - rumble of thunder, growl |
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what are the implications of course crackles? |
- secretions |
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what do fine crackles sound like? |
- heard at end of inspiration - velcro being pulled apart - radio static - rubbing hair between fingers - rice bubbles |
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what are the implications of fine crackles? |
- pulmonary oedema - resolving atelectasis (collapse of lung) - alveoli opening at the end of inspiration |
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what does a wheeze sound like? |
- high or low pitched |
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what are the implications of a wheeze? |
- bronchospasm - mucosal oedema - mucous - foreign body - tumour |
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what does stridor/single frequency wheeze sound like? |
- wheeze on inspiration |
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what are the implications of stridor/single frequency wheeze? |
- upper airway obstruction (extra-thoracic) |
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what does a pleural rub sound like? |
- scratching sandpaper |
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what are the implications of a pleural rub? |
- inflammation or fibrosis of pleura |
