Breath Sounds/Patterns
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Vesicular BS | Normal; low pitch soft sounds, "whispering, rustling of leaves"; inspiration longer than expiration, heard over lung periphery
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| Bronchial BS | Normal; loud, high pitch, hollowing sounding; Expiration longer than inspiration w/ short pause; heard over upper sternum (monubrium) bc of the right/left main stem
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| Bronchovesicular BS | Muted sound, with pause between inspiration and expiration, both are roughly the same length; heard over sternum between scapulae and rt. apex
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| Tracheal BS | Hard, high pitch sounds; expiration longer than inspiration
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| Harsh BS | Normal breath sounds louder than normal
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| Diminished BS | Normal breath sounds quieter than normal
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| Abnormal BS | Hearing 'normal' breath sounds in areas, in which, are not appropriate.
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| Adventitious BS | Crackles, wheezes, rhonchi, pleural rub, stridor
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| Continuous BS | wheezes, rhonchi, stridor
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| Discontinuous BS | Crackles
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| Wheezes | High pitched, can either be monophonic (tumor, foreign object) or polyphonic (asthma)
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| Rhonchi | Low pitched, sounds like snoring, usually because of secretions
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| Stridor | heard over trachea durning inspiration, obstruction of trachea/larynx
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| Crackles | Low pitched, inspiration and expiration, coarse crackles dealing with secretions in larger airways, fine crackles = atelectasis, fibrosis, pulmonary edema
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| Kussmal's Breathing | Deep and rapid; caused by ketoacidosis, diabetic coma
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| Biot's Breathing | Very irregular breathing with periods of apnea; caused be a rise in intercranial pressure
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| Cheyne-Stoke's Breathing | Gradual increase, gradual decrease followed with apnea; caused by CNS depression, CHF
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| Apneustic Breathing | Prolonged inspiration, regular expiration; caused by brain injury
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| Paradoxical Breathing | Chest depresses on inspiration, expiration chest puffs; caused by chest injury
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| Asthmatic Breathing | Prolonged expiration, regular inspiration
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| Tactile Fremitus; increased | Something inside the lung; secretions, tumor, pneumonia,
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| Tactile Fremitus; decreased | Something outside the lung; pnuemothorax, pleural effusion
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