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13 Cards in this Set
- Front
- Back
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Bronchial breath sounds
(loud, high-pitched sound w/ tubular quality) • Significance: consolidation (lobar, bronchopneumonia) • Associated w/ an air bronchogram |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Bronchovesicular
• Characteristics: Normal breath sounds heard over main bronchi. Abnormal if heard in the lung periphery. •Inspiratory & expiratory breaths are equal in length. • site of production of the alveoli • The sound is soft, low pitched and is transmitted over most of the lung. • Associated with: Health |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Course Rales
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
***Course crackles****
• Coarse crackles are longer lasting low pitched sounds. • Crackles have been compared to the sound of crinkling plastic wrap and can be simulated by rubbing strands of hair between 2 fingers near the ear. • They occur most commonly with atelectasis and alveolar filling processes such as pulmonary edema and interstitial lung disease. • They signify distention of fibrotic lung tissue or opening of collapsed alveoli. Causes: pulmonary edema, lobar pnemonia, interstitial fibrosis (i.e. sarcoidosis) |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Egophony
• This is form of bronchophony in which the spoken letter “E” is changed to “A”, which has a perculiar nasal bleating quality. • Often the tone quality is impaired by compressed lung below a pleural effusion. • It is occasionally heard in pulmonary consolidation |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Fine Rales
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Medium Rales
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Ronchi
• Characteristics: low pitched snoring sound heard during inspiration or expiration; due to secretions in large airways (bronchus, trachea); usually clear w/ coughing; • Associated with chronic bronchitis |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Inspiratory stridor
• Characteristics: high-pitched inspiratory sound; sign of upper airway obstruction • Associated with epiglottis (H. influenza); croup (parainfluenza) • Inspiratory + expiratory stridor = fixed upper airway obstruction (i.e. cancer) |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Tracehal sounds
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Vesicular sounds
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Wheezing
• High-pitched musical sound usually head in expiration; sometimes inspiration and expiration; expiration longer than inspiration • Causes inflammation segmental bronchi, small airways (e.g. asthma, chronic bronchitis) pulmonary edema constricting airway (called cardiac asthma); pulmonary infarction (release of TXA2 from platelets causes bronchoconstriction) |
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Identify the breath sound.
What are the characteristics? What pathology is it associated with? |
Whispered pectoriloquy
• Characteristics: clear and intelligible words (when patient is whispering) |
