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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