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14 Cards in this Set

  • Front
  • Back
Discontinuous Sounds
Crackles (fine)
Characteristics
high pitched, short, popping sounds
heard during inspiration
not cleared with cough
ex: rolling strand of hair between fingers
Discontinuous Sounds
Crackles (fine)
Source
inhaled air suddenly open the small deflated air passages that are coated and sticky with exudate
Discontinuous Sounds
Crackles (fine)
Associated Conditions
occur during late inspiration
restrictive diseases:
pneumonia
CHF
occur during early inspiration
obstructive disorders:
bronchitis
asthma
emphysema
Discontinuous Sounds
Crackles (coarse)
Characteristics
Low pitched, bubbling, moist sounds
persist from early inspiration to early expiration
ex: softly separating Velcro
Discontinuous Sounds
Crackles (coarse)
Source
Inhaled air comes into contact with secretions in the large bronchi and trachea
Discontinuous Sounds
Crackles (coarse)
Associated Conditions
may indicate:
pneumonia
pulmonary edema
pulmonary fibrosis - "velcro rales" heard louder and closer to stethoscope, don't change location,
more common in long-term COPD
Continuous Sounds
Pleural friction rub
Characteristics
low-pitched, dry, grating sound
like crackles only more superficial
occurs during both inspiration and expiration
Continuous Sounds
Pleural friction rub
Source
result of rubbing of two inflamed pleural surfaces
Continuous Sounds
Pleural friction rub
Associated Conditions
Pleuritis
Continuous Sounds
Wheeze (sibilant)
Characteristics
high-pitched, musical sounds
heard during expiration but also during inspiration
Continuous Sounds
Wheeze (sibilant)
Source
air passes through constricted passages (caused by swelling, secretions, or tumor)
Continuous Sounds
Wheeze (sonorous)
Characteristics
Low-pitched snoring or moaning sounds
heard primarily during expiration but also heard throughout respiratory cycle
may clear with cough
Continuous Sounds
Wheeze (sonorous)
Source
air passes through constricted passages
wheeze cannot be correlated to the size of passageway that generates it
Continuous Sounds
Wheeze (sonorous)
Associated Conditions
heard in cases of:
bronchitis
single obstructions
snoring before sleep apnea
stidor - harsh honking wheeze with severe bronchiolaryngospasm (croup)