PD Thorax lecture
Voice is soft
COPD
When the transmission of vibrations from larynx to surface of chest is clear
Thick chest wall
Is when a dull sound replaces the normal, resonant sound
Can never be heard in a patient with emphysema or asthma
Is not a reliable sign of emphysema or asthma
Listening to the sounds generated by breathing
Listening for any adventitious sounds
Listening to 4-6 areas posteriorly and 3-5 areas anteriorly and laterally
Normal
Mixed normal and abnormal
Abnormal 'breathy' sounds
Are normal
Are mixed normal and abnormal
Are abnormal 'breathy' sounds
Mixed normal and abnormal sounds
Abnormal 'breathy' sounds
Normal
Are soft and low pitched
Heard through inspiration
Pause between inspiration and expiration
Fade away about 1/3 of the way through expiration
Resemble the quiet sound of a breeze rustling the leaves of a tree
Represent air blowing through the small airways
Are abnormal
Are indicative of pneumonia
Inspiratory and Expiratory sounds can be separated by a slight interval
Heard in a region of resolving pneumonia
Differences in pitch and intensity are easily detected during inspiration
Are soft and low pitched
Have a short silence between inspiratory and expiratory sounds
Represent air flowing through larger bronchi as well as smaller airways
Can be heard over the trachea
Can be heard near the angle of Louis
Can be heard in areas of pneumonic consolidation
Inspiratory sounds last longer than Expiratory sounds
True
False
Are louder, whispered sounds
Are a result of a consolidated lung
Is due to millions of alveoli that baffle and break up whispers
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