Respiratory sounds

Question 1

Types of breath sounds
(NORMAL)

Answer 1

Tracheal
Bronchial
Bronchovesicular
Vesicular

Question 2

Types of breath sounds
(ABNORMAL) Adventitious

Answer 2

Wheezing - lower pitch sound on expiratory
AAC: (asthma, anaphylaxis, COPD).

Rhonchi - coarse rattling (insp and exp.) mucus in the lungs.

Crackles (Rales)- bubbling/ popping, fluid in the lungs,
PE, CHF, early onset of pneumonia.
cough with yellow, green sputum = infection
(pink = CHF)

Stridor - upper airway (croup, epiglottitis, inhalation burn, anaphylaxis, foreign body), high pitched inspiratory, (sometimes expir), musical,

Pleural friction- inflammation of the pleural space

https://www.youtube.com/watch?v=2ye09C-YYgo&list=PLX6K0k1N-eCECHRI1kVaD2Uf0QAUshUvI&index=1

Question 3

Wheezing

Answer 3

• AAC: asthma, anaphylaxis, COPD
• high pitched expiratory Nosie
• caused by narrowed airways (bronchoconstriction)
• heard also without stethoscope
• on inspiration and expiration
• usually bilateral,
• if unilateral = obstruction by a foreign object

Question 4

Crackles/ Rales

Answer 4

1. FINE (clears when coughing)
2. MEDIUM
3. COARSE (low bubbling)

• bubbling / popping - rales on inhalation,
• Implies fluid or exudate (pus or clear fluid pushed out of the tissues).

Caused by:
Infection of bronchi, bronchioles, alveoli, pulmonary oedema, ARDS

Question 5

Stridor

Answer 5

• Upper airway,
• caused by :
  1. croup
  2. Epiglottitis
  3. Inhalation burn
  4. Anaphylaxis
  5. Foreign body airway obstruction,

-musical ,continues high pitched wheezing
-caused by disrupted airflow
-mostly inspiratory

Question 6

Ronchi
(out-dated word that means fluid in the upper airway)

Answer 6

• caused by blockage or secretion in the upper airway
• continuous , lower pitched, coarse rattling sound
• on inspiration and expiration

Question 7

Friction Rubs

Answer 7

• inflammation of the pleural space case friction rubs
• not produced inside the airways
• during inspiration and expiration