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Respiratory sounds, also known as lung sounds or breath sounds, are the specific sounds generated by the movement of air through the respiratory system. [1] These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral characteristics of lung sounds. [2]
In order to listen to the lungs from the back the patient is asked to move their arms forward to prevent the scapulae (shoulder blades) from obstructing the upper lung fields. These fields are intended to correlate with the lung lobes and are thus tested on the anterior (front) and posterior (back) chest walls.
Crackles are the clicking, rattling, or crackling noises that may be made by one or both lungs of a human with a respiratory disease during inhalation, and occasionally during exhalation. They are usually heard only with a stethoscope ("on auscultation"). Pulmonary crackles are abnormal breath sounds that were formerly referred to as rales. [2]
A coin test (or a bell metal resonance) is a medical diagnostic test used to test for a punctured lung. A punctured lung can cause air or fluid to leak into the pleural cavity, leading to, for example, pneumothorax or hydrothorax. In a coin test, a coin held against the chest is tapped by another coin on the side where the puncture is suspected.
Understanding Lung Sounds 3rd edition (2002) by Steven Lehrer is a book and audio CD that guides the student through the skills of lung auscultation. It provides a complete overview of lung examination, anatomy, physiology, and pathology.
Upon physical examination, breath sounds (heard with a stethoscope) may be diminished on the affected side, partly because air in the pleural space dampens the transmission of sound. Measures of the conduction of vocal vibrations to the surface of the chest may be altered.
Children often present with excessive drooling and stridor (high pitched breathing sounds). [3] Classic triad of choking symptoms in children is coughing, wheezing, and diminished breath sounds, however, a 10-year review showed that this grouping of symptoms was present together in only about 60% of patients. [14]
In medicine, Imaging Lung Sound Behavior with Vibration Response Imaging (VRI) is a novelty computer-based technology that takes the concept of the stethoscope to a more progressive level. Since the invention of the stethoscope by René-Théophile-Hyacinthe Laennec France in 1816 , physicians have been utilizing lung sounds to diagnose various ...