thorax lungs

Resonance

Felt over healthy and normal lung tissue; low-pitched, clear and hollow

NORMAL LUNG PERCUSSION SOUND

Dullness

Muffled thud heard over dense tissue or fluid heard over liver (barrier of sound, water)

Ex: pneumonia or pleural fusion

Hyperresonance

Booming, louder, lower-pitched sounds in overinflated lungs; emphysema

Flatness

Extremely dull sound; of bone, muscle, or large tumor

Tympany

Loud, high-pitched sound heard over abdomen

Normal Auscultation for Breath Sounds

Bronchial/Crackeal

Loud, high pitched coarse, heard mainly over trachea in neck; air moving through large tubes

expiration is longer than inspiration

Normal Auscultation for Breath Sounds

Bronchovesicular sounds

Moderate amplitude over the major bronchi around the sternum between the shoulder blades, inspiration and expiration are roughly equal length

Normal Auscultation for Breath Sound

Vesicular sounds

Soft, low pitched wrestling sounds like a gentle breeze heard over the peripheral lung fields.

The small airways and air sacks here inspiration is longer than expiration.

Abnormal Auscultation for Breath SoundS

Crackles

Short, crackling pooping sounds It’s usually her during expiration often compared to hair being rolled between your fingers your ear or velcro

Can be fine, high-pitched, brief coarse , loud, bubbling, gurgling

Abnormal Auscultation for Breath Sounds

Wheezing

Musical high-pitched squeaking sounds that are split noises or low pitched snoring gurgling sounds or raunchy

Mainly expiration but inspiration as well

Narrowed airways (asthma, COPD)

Abnormal Auscultation for Breath Sounds

Stridor

High-pitched sound usually much louder, scary sound indicates a life-threatening upper airway obstruction

medical emergency needs immediate intervention it’s distinct from wheezing

Abnormal Auscultation for Breath Sounds

Pleural Rub

Grading, creaking sound like two pieces of leather rubbing together

movement of inflamed, plural surfaces, rubbing against each other surfaces

Often heard in two phases early inspiration later expiration

Increase breath sounds

Can suggest consolidation, pneumonia, atelactasis