1
Q
Vesicular breath sounds
A
normally heard best over the posterior chest
2
Q
bronchial breath sound
A
normally heard over the trachea and right apex
3
Q
vesicular vs bronchial
A
- vesicular sounds inspiration is longer than expiration
- bronchial sounds expiration is longer than inspiration
4
Q
crackles
A
- discontinuous sounds
- resembling the sound produced by rubbing strands of hair together in front of the ear or by pulling apart strips of velcro
5
Q
describe the types of crackles
A
- course crackles = loud low pitched and fewer in number
- fine crackles = soft, higher pitched and greater in number
6
Q
wheezes
A
- 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
7
Q
stridor
A
- loud, musical sound of definite and constant pitch that indicates upper airway obstruction confined to inspiration over the neck
8
Q
pleural rub
A
- loud grating or rubbing sounds predominantly during expiration
9
Q
describe some common differential diagnosis that produce CRACKLES
A
- Pulmonary fibrosis
- elevation of left atrial pressure
- MI
- Pneumonia
