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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]
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.
breath breath sound bowel sounds (on auscultation using a stethoscope) blood sugar body secretions: BS x 4 quads: bowel signs in all 4 quadrants (also sometimes "BS + all 4 quads") BS x: B-symptoms: BSA: body surface area bovine serum albumin: BSC: bedside commode BSE: bovine spongiform encephalopathy breast self-examination: BSL: blood sugar ...
The patient may exhibit dysphonia or have diminished breath sounds, and rapid breathing is common. [3] Coughing may be present, [11] and stridor, an abnormal, high-pitched breath sound indicating obstruction of the upper airway can also occur. [12]
Normally, the sound of the patient's voice becomes less distinct as the auscultation moves peripherally; bronchophony is the phenomenon of the patient's voice remaining loud at the periphery of the lungs or sounding louder than usual over a distinct area of consolidation, such as in pneumonia.
Lung sounds are usually clear yet diminished due to decreased base lung capacity. [16] Many scales have been developed to determine the degree of deformity in the chest wall. Most of these are variants on the distance between the sternum and the spine.