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PHYT 5114 > Breath Sounds + Auscultation > Flashcards

Breath Sounds + Auscultation Flashcards

1
Q 
Vesicular breath sounds
Normal/abnormal:
Created by:
Description:
Location:
Phase:
Ratio:
A

Normal/Abnormal: Normal
Created by: air moving in/out of bronchioles/small air passages
Description: Gentle rustling
Location: Normal lung tissue, most of chest wall
Phase: Insp + exp
Ratio: Insp > exp

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2
Q 
Bronchovesicular breath sounds
Normal/abnormal:
Created by:
Description:
Location:
Phase:
Ratio:
A

Normal/abnormal: normal
Created by: trachea and large bronchi
Description: louder than vesicular, higher pitch
Location: 1st/2nd intercostal space by sternum, between scapulae
Phase: insp, exp
Ratio: insp = exp with slight pause

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3
Q 
Bronchial breath sounds
Normal/abnormal:
Created by:
Description:
Location:
Phase:
Ratio:
A

Normal/abnormal: abnormal
Created by: vibration of air in traceobronchial system
Description: blowing, hollow character
Location: over-lung pneumonia, consolidation
Phase: insp, exp
Ratio: exp > insp

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4
Q 
Abnormal bronchovesicular breath sounds
Normal/abnormal:
Created by:
Description:
Location:
Phase:
Ratio:
A

Normal/abnormal: abnormal
Created by: mixture of consolidated and aerated lung
Description: loud rustling
Location: heard in area of lung that should have vesicular breath sound
Phase: insp, exp
Ratio: insp = exp

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5
Q 
Decreased or absent breath sounds
Normal/abnormal:
Created by:
Description:
Location:
Phase:
A

Normal/abnormal: abnormal
Created by: fluid or air in pleural space, fibrosis, emphysema, bronchial obstruction, decreased flow
Description: decrease intensity/loudness but no change in character
Location: any part of the lung
Phase: insp, exp

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6
Q 
Crackles
Heard during resp cycle?
Probable cause?
Quality?
Pathological cause?
A

Heard during resp cycle? insp
Probable cause? rest/obst lung disease, movement of secretions
Quality? bubbles bursting
Pathological cause? atelectasis, pul, edema, fibrosis, pleural effusion, pneumonia, CHF

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7
Q 
Wheezes
Heard during resp cycle?
Probable cause?
Quality?
Pathological cause?
A

Heard during resp cycle? more often on EX
Probable cause? airway obstrcution
Quality? high or low pitch
Pathological cause? bronchospasm or secretion narrow airway

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8
Q 
Pleural rub
Heard during resp cycle?
Probable cause?
Quality?
Pathological cause?
A

Heard during resp cycle? IN or EX
Probable cause? pleural inflammation
Quality? sandpaper or leather rubbing together
Pathological cause?

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9
Q

Apnea

A

Absence of ventilation

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10
Q

Fish mouth

A

Apnea with mouth opening and closing

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11
Q

Eupnea

rate/depth/rhythm

A

Normal rate/depth/rhythm

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12
Q

Bradypnea

rate/depth/rhythm

A

Slow rate
Normal depth
Normal rhythm (drug overdose)

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13
Q

Tachypnea

rate/depth/rhythm

A

Fast rate
Shallow depth
Regular rhythm
(Rest lung disease)

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14
Q

Hyperpnea

rate/depth/rhythm

A

Normal rate
Increased depth
Regular rhythm

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15
Q

Cheyne-Stokes

rate/depth/rhythm

A

Increase then decrease depth with apnea
somewhat regular rhythm
(Critically ill patients)

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16
Q

Biot’s

rate/depth/rhythm

A 
Slow rate
shallow depth
apneic periods
irregular rhythm
(CNS disorder, ie meningitis)
17
Q

Apneustic

rate/depth/rhythm

A

Slow rate
Deep insp followed by apnea
irregular rhythm
(brainstem disorders)

18
Q

Prolonged expiration

rate/depth/rhythm

A

fast inspiration, slow and prolonged expiration
Normal rate, depth, rhythm
(obstructive lung disease)

19
Q

Orthopnea

A

difficulty breathing in postures other than erect

20
Q

Hyperventilation

rate/depth/rhythm

A

fast rate or increased depth
regular rhythm
decrease PCO2

21
Q

psychogenic dyspnea

A

normal rate with regular intervals of sighing

associate with anxiety

22
Q

dyspnea

rate/depth/rhythm

A

rapid rate
shallow depth
regular rhythm
associated with accessory muscle activity

23
Q

doorstop

rate/depth/rhythm

A

normal rate and rhythm
abrupt cessation of insp when restriction encountered
pleurisy

PHYT 5114 (2 decks)

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