Respiratory Concept Lab- Shadow Health Questions & Answers Already Passed!!
Harsh, High-pitched, Loud - You can hear bronchial sounds above the manubrium, over the trachea. Bronchial Sounds are: Medium in loudness, medium in pitch - Bronchiovesicular sounds are heard over the main bronchi. These sounds are: Softest, lowest in pitch - vesicular sounds are over the lower bronchi, the bronchioles, and the lobes. The left lung has two lobes. The right lung has three lobes. Right lung - 3 lobes: Vesicular Right Superior, Vesicular Right Middle,Vesicular Right Inferior. Left lung - 2 lobes: Vesicular Left Superior & Vesicular Left Inferior Abnormal lung sounds - Diminished or absent breath sounds, increased breath sounds, & adventitious sounds. Decreased Breath Sounds - Normal lungs sounds are usually easy to hear with a stethoscope. Occasionally you will hear sounds that are decreased in intensity, or even absent. Decreased breaths sounds occur in airway disease or obstruction, diaphragm paralysis, or impairment of sound transmission through the chest wall. Worsening symptoms may lead to absent breath sounds. Absent lung sounds usually indicate that no air is moving in the lung tissue. Increased Breath Sounds - A common abnormal finding is hearing bronchial or bronchiovesicular sounds, which are louder and harsher, in peripheral lung tissue where vesicular sounds are normally heard. This occurs when underlying lung tissue is filled with liquid or solid material, rather than air. Adventitious Sounds - When you auscultate, you might hear abnormal sounds in addition to the normal lung sounds. These additional abnormal sounds are called adventitious sounds.Crackles (Fine) - High-pitched crackling sounds that occur when inhaled air meets deflated alveoli, causing them to pop open. Short popping sounds, high-pitched, Location: usually bases of lower lobes.Sound like the noise created by rolling a strand of hair between your thumb and index finger. (likely Pneumonia) Crackles (Coarse) - loud, low-pitched bubbling sounds that are caused when air meets secretions in the large airways. Short crackling sounds, low-pitched, Location: trachea and large bronchi. Sounds like separating a Velcro fastener. Ronchi - Continuous, low-pitched snoring sounds caused by airway obstruction from thick secretions, muscular constriction, or masses. Long snoring sounds, low-pitched, Location: Bronchi. Sounds likes snoring or moaning. Wheezes - continuous, high-pitched musical sounds that are created by the narrowing of airways from swelling, secretions, or masses. Long musical sounds, high-pitched, Location: all lung fields. Stridor - loud, continuous, high-pitched crowing sound that is caused by upper airway obstruction. This is the most serious of adventitious sounds and it requires immediate attention. Long crowing sounds, high-pitched, Location: Trachea. Usually audible without a stethoscope.
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