HA Objective data

Tympany:

loud, highpitched, drumlike tone of medium duration characteristic of an organ that is filled with air. It is heard commonly over the gastric bubble in the stomach or over airfilled intestines.

Resonance:

is a loud, lowpitched, hollow tone of long duration. It is the normal finding over the lungs

Flatness:

is a highpitched tone, very soft, and of very short duration. It occurs over solid tissue such as muscle or bone

Hyperresonance

is an abnormally loud, low tone of longer duration than resonance. It is heard when air is trapped in the lungs.

Dullness

is a high pitched tone that is soft and of short duration. It is usually heard over solid body organs such as the liver or a stool-filled colon

Flatness

is a highpitched tone, very soft, and of very short duration. It occurs over solid tissue such as muscle or bone

Resonance sound origin

Normal lung

Hyperresonance origin

heard over mostly air, lung with emphysema

Tympany origin

heard over air, puffed cheek, gastric bubble

dullness sound origin

more solid tissue, liver and diaphragm

flatness sound origin

muscle, bone, sternum, thigh

Lithotomy

Fowler’s

Trendelenburg’s

Prone

supine/recumbent

Dorsal Recumbent

Sims’

knee-chest

Proctologic