Abnormal breath sounds

What were crackles called?

Tales

What sound so fine crackles produce?

Discontinuous, high-pitched crackling and popping

When are fine crackles heard?

Near the end of inspiration

Do crackles clear after a strong cough

No

What are fine crackles associated with?

Atelectasis, interstitial fibrosis, early pulmonary edema, pneumonia

What sounds so medium crackles make?

Medium-pitched crackles with a moist quality as the disease worsens

Coarse crackles were previously called what?

Rhonchi

What sound do course crackles make?

Discontinuous low-pitched rumbling or gurgling

When are coarse crackles heard?

Start early in inspiration and extend into expiration

What are coarse crackles associated with?

COPD, pulmonary disease, cystic fibrosis, bronchiectasis, pulmonary edema

Do coarse crackles change after a strong cough?

Sometimes

Wheezing sounds

Continuous, high-pitched musical whistles

What causes wheezing

Airway obstruction

What’s associated with wheezing

Asthma,

Bronchial breath sounds

Harsh, hollow, loud, high-pitched

Bronchial breath sounds characteristics

Equal in inspiration and expiration.

What are bronchial breath sounds associated with?

Atelectasis and consolidation

Stridor sound

Continuous loud high-pitched. Loud enough to be heard without a stethoscope

What does stridor occur?

Inspiration

What is stridor associated with

Inflammatory conditions

Pleural friction rub sound

Continuous low-pitched coarse creaking or grating. Like fresh snow

When is pleural friction rub heard?

Throughout inspiration and expiration

What is pleural friction rub associated with?

Pleurisy, pneumonia, pulmonary fibrosis

Diminished breath sounds

Low and distant breath sounds

Whispering pectoriloquy

The clear transmission of whispers