Front | Back |
Orthopnea
|
Difficulty breathing when supine
|
Paroxysmal nocturnal dyspnea
|
Awakening from sleep with SOB an needing to be upright to achieve comfort
|
Tactile (or vocal) fremitus
|
Palpable vibration
|
Decreased fremitus occurs
|
When anything obstructs transmission of vibrations such as obstructed bronchus, pleural effusion or thickening, pneumothorax, or emphysema
|
Increased fremitus occurs
|
With compression or consolidation of lung tissue such as lobar pneumonia
|
Rhoncal fremitus palpable
|
With bronchial secretions
|
Pleural friction fremitus
|
Palpable with inflammation of the pleura
|
Crepitus occurs in
|
Crackling sensation palpable over skin surface; occurs in subcutaneous emphysema
|
What is resonance?
|
Low-pitched, clear, hollow sound found in healthy lung tissues in adult
|
What is hyperresonance? when is it found?
|
Lower-pitched, booming sound found when too much air is present; found in emphysema or pheumo-thorax
|
What is dull note? when is it found?
|
Soft, muffled thud; signals abnormal density in lungs; found in pneumonia, pleural effusion, atelectasis, or tumor
|
Decreased or absent breath sounds occur
|
Bronchial tree obstructed; loss of elasticity in lung fibers and decreased force of inspired air; anything that obstructs transmission of sound between lung and stethoscope
|
Increased breath sounds
|
Occur with consolidation or pneumonia; compression or fluid in the intrapleural space
|
What is adventitious sounds?
|
Added sounds not normally heard in lungs
|
What are crackles?
|
A type of adventitious sound also known as rales
|