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Respiratory Auscultation  E-mail
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Introduction
MECHANISM
Vesicular Breath Sound
Diminished Vesicular
Harsh Vesicular
Bronchovesicular
Bronchial Breath Sound
Crackles
Wheezes
Other sounds
Bronchophony
Egophony
Lobar Pneumonia
Pulmonary Edema
Other adventitious sounds:

Rhonchi

Rhonchi are low pitched, continous, musical sounds that are similar to wheezes. They usually imply obstruction of a slightly larger airway by secretions. They are often also described as the "coarse rattling sound somewhat like snoring, usually caused by secretion in bronchial airways". Rhonchi is the plural form of the singular word 'rhonchus'.
 
However, this term is also used as a synonym for wheezes.

 

Rales

 

This is an obsolete term, used as a synonym for crackles, especially coarse crackles. It is pronounced as 'raahls'. 

 

Stridor

Stridor is an inspiratory noisy sound heard loudest over the trachea during inspiration. Stridor is indicative of an obstructed trachea or larynx and is therefore a medical emergency that demands immediate attention.

Pleural Rub

Pleural rubs are creaking sounds produced when the pleural surfaces are inflammed or roughened and rub against each other. It is produced due to friction between the two surfaces. They may be discontinuous or continuous sounds. They can usually be localized to a particular place on the chest wall and are heard during both the inspiratory and expiratory phases.

Causes:
  1. pleuritis
  2. sometimes in pleural effusion, above the level of fluid
  3. pneumothorax



 

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