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RT-118 Test 3
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Define hyper resonant


The sound produced over emphysematous lungs or pneumothorax. (Louder)


Define resonant


The sound produced over normal lung tissue.


Impact on fremitus by disease


  • Pnuemonia, actelectasis, lung mass increases fremitus
  • Pleural effusion, pleural thickening and pnumothorax decrease fremitus



Fremitus is more pronounced in ______  ______


Upper chest. Less pronounced at bases


Vocal fremitus


  • form of tactile fremitus
  • Vibration produced by patient speaking
  • use "99" felt using hands



What is fremitus ?


  • Vibration caused by air moving through the airways transmitted through chest wall.
  • Since you fell vibration referred to as tactile fremitus



Normal Breath Sounds- Vesicular


  • Heard over peripheral lung areas
  • Whispering wind



Normal Breath Sounds - Bronchial


  • heard over sternum
  • Tubular



Normal Breath Sounds- Bronchovesicular


  • Heard on either side of sternum or between scalpue
  • Combination of Vesicualr and Bronchial sounds



Normal Breath Sounds- Tracheal


  • Heard over trachea
  • Harsh tubular



Define Auscultation


Listening for sounds in the body to define a condition.


Abnormal Breath Sounds- Wheezes


  • High pitched continuous sound
  • higher in pitch and lower in intensity toward end of forced expiration
  • mainly asthma but also emphysema, CHF, partial obstruction of airway
  • Cause related to Bernoulli's principle



Abnormal Breath Sounds- Stridor



  • crouplike sound usually heard without stethoscope

  • Usually loudest on inspiration

  • indicitive of croup, upper airway obstruction, foreign body aspiration, laryngeal tumors

  • If severe sternal retraction can occur