Breath sounds: Difference between revisions
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==Overview== | ==Overview== | ||
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A new technology, vibration response imaging, produces dynamic images of the lungs by measuring the [[vibration]] energy generated in [[lungs]] is under investigation. It is non-invasive and radiation-free. | A new technology, vibration response imaging, produces dynamic images of the lungs by measuring the [[vibration]] energy generated in [[lungs]] is under investigation. It is non-invasive and radiation-free. | ||
==Types of adventitious breath sounds== | |||
* [[Rales]] (or "Crackles") | * [[Rales]] (or "Crackles") | ||
* [[Wheeze]] and [[stridor]] | * [[Wheeze]] and [[stridor]] | ||
* Friction rub<ref>http://www.gpnotebook.co.uk/cache/1382744076.htm</ref> | * Friction rub <ref>http://www.gpnotebook.co.uk/cache/1382744076.htm</ref> | ||
* [[Rhonchi]]<ref>http://www.drhull.com/EncyMaster/R/rhonchi.html</ref> -- indicative of [[bronchitis]] | * [[Rhonchi]] <ref>http://www.drhull.com/EncyMaster/R/rhonchi.html</ref>-- indicative of [[bronchitis]] | ||
* inspiratory gasp - indicative of [[whooping cough]] | * inspiratory gasp- indicative of [[whooping cough]] | ||
* crepitations <ref>http://www.gpnotebook.co.uk/cache/-1395654592.htm</ref> | * crepitations <ref>http://www.gpnotebook.co.uk/cache/-1395654592.htm</ref> | ||
* [[Hamman's sign]] (or Mediastinal crunch)<ref>http://chorus.rad.mcw.edu/doc/00456.html</ref> -- indicative of [[pneumomediastinum]] | * [[Hamman's sign]] (or Mediastinal crunch)<ref>http://chorus.rad.mcw.edu/doc/00456.html</ref>-- indicative of [[pneumomediastinum]] | ||
== Differential Diagnosis of Decreased Breath Sounds == | ==Differential Diagnosis of Decreased Breath Sounds== | ||
In alphabetical order | In alphabetical order<ref>Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016</ref> <ref>Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X</ref> | ||
=== Decreased Airflow through Respiratory Tree === | ====Decreased Airflow through Respiratory Tree==== | ||
* Abdominal, pleuritic, chest wall pain | * Abdominal, pleuritic, chest wall pain | ||
* Aspirated foreign body | * Aspirated foreign body | ||
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* [[Scoliosis]] | * [[Scoliosis]] | ||
=== Obstructed Transmission of Sound === | ====Obstructed Transmission of Sound==== | ||
* Alveoloar hemorrhage | * Alveoloar hemorrhage | ||
* [[Chylothorax]] | * [[Chylothorax]] | ||
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==References== | ==References== | ||
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{{SIB}} | {{SIB}} | ||
[[Category:Abnormal respiration]] | [[Category:Abnormal respiration]] | ||
[[Category:Pulmonology]] | [[Category:Pulmonology]] | ||
[[Category:Physical examination]] | |||
[[Category:Signs and symptoms]] | [[Category:Signs and symptoms]] | ||
{{WikiDoc Help Menu}} | {{WikiDoc Help Menu}} | ||
{{WikiDoc Sources}} | {{WikiDoc Sources}} | ||
Revision as of 17:37, 20 September 2011
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Breath sounds refer to the specific sounds identified through auscultation of the respiratory system with a stethoscope.
In this context, "adventitious" refers to sounds heard apart from the normal sounds of inspiration and expiration.
A new technology, vibration response imaging, produces dynamic images of the lungs by measuring the vibration energy generated in lungs is under investigation. It is non-invasive and radiation-free.
Types of adventitious breath sounds
- Rales (or "Crackles")
- Wheeze and stridor
- Friction rub [1]
- Rhonchi [2]-- indicative of bronchitis
- inspiratory gasp- indicative of whooping cough
- crepitations [3]
- Hamman's sign (or Mediastinal crunch)[4]-- indicative of pneumomediastinum
Differential Diagnosis of Decreased Breath Sounds
Decreased Airflow through Respiratory Tree
- Abdominal, pleuritic, chest wall pain
- Aspirated foreign body
- Asthma
- Atelectasis
- Bronchiectasis
- Bronchiolitis
- Bronchitis
- Chronic Obstructive Pulmonary Disease (COPD)
- Croup
- Diaphragmatic paralysis
- Emphysema
- Epiglottitis
- Goiter
- Increased girth of abdomen
- Kyphosis
- Pleurisy
- Pulmonary Edema
- Pulmonary Fibrosis
- Sarcoidosis
- Scoliosis
Obstructed Transmission of Sound
- Alveoloar hemorrhage
- Chylothorax
- Cryptogenic organizing pneumonia
- Cystic Fibrosis
- Hemothorax
- Large pulmonary embolism
- Obesity
- Pleural Effusion
- Pleural thickening
- Pneumonectomy
- Pneumothorax
- Psychogenic
- Systemic Lupus Erythematosus
- Vocal cord dyskinesia
- Vocal cord paralysis
References
- ↑ http://www.gpnotebook.co.uk/cache/1382744076.htm
- ↑ http://www.drhull.com/EncyMaster/R/rhonchi.html
- ↑ http://www.gpnotebook.co.uk/cache/-1395654592.htm
- ↑ http://chorus.rad.mcw.edu/doc/00456.html
- ↑ Sailer, Christian, Wasner, Susanne. Differential Diagnosis Pocket. Hermosa Beach, CA: Borm Bruckmeir Publishing LLC, 2002:77 ISBN 1591032016
- ↑ Kahan, Scott, Smith, Ellen G. In A Page: Signs and Symptoms. Malden, Massachusetts: Blackwell Publishing, 2004:68 ISBN 140510368X