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13 terms

1145 breath sounds

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Wheezing
Whistling sounds usually associated with obstructive airways
Strider
A high pitched crowing noise associated with upper airway obstruction
Rales & Rhonchi are abnormal breath sounds due to
Air mixing with secretions from the lungs.
Rales
A light bubbly cracking sound associated with serous secretions
Rhonchi
A deep harsher sound resulting from thicker mucus.
What are the most frequent causes of absences of breath sounds?
Atelectasis which is a collapsed lung, or non aeration of the lung.
Dyspnea
Difficulty or discomfort breathing, usually a person feels like they cannot inhale enough air. Manifestations include breathlessness or shortness of breath with either exertion or rest.
What are the signs of severe Dyspena?
Flared nostrils & retraction of the muscles (pulling in) between the ribs E.g. intercosatl muscles retract & are visible to the observer.
Orthopnea
Dyspnea when a person is lying down.
Why might a person develop Orthopnea?
While one is lying down pulmonary congestion can develop & the abdominal contents can push upward against the lungs in a supine position.
How can we help a person suffering from Orthopnea?
Prop them up with pillows
Do normal healthy people suffer from Orthopnea?
Usually no, it is seen in individuals with pulmonary & cardiovascular disorders.
Paroxysmal Nocturnal Dyspnea
An acute type of dyspnea seen in individuals with L-CHF. During sleep body fluid is redistributed which leads to pulmonary edema. The Individual awakes gasping for air & coughing.