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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

Bronchial Breath Sounds:

Bronchial breath sounds are usually loud, high-pitched and sound close to the stethoscope.

Character of the sound is HOLLOW.

There is a gap between the inspiratory and expiratory phases of respiration, and the expiratory sounds are equal in length to inspiratory sounds.

If these sounds are heard anywhere other than over the manubrium, they indicate an abnormality.
  • Consolidation
  • Cavity
  • Upper level of pleural effusion
  • Upper lobe fibrosis
  • Upper lobe collapse
NOTE:
The ideal way to recognize a bronchial breathing while auscultating is to look for
  • the hollow character of the sound.
Then confirm that it is indeed bronchial breathing by looking for
  • the gap between inspiration and expiration and
  • the equality of these two phases of respiration.




 

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