lung sounds: rales vs crackles vs ronchi vs coarse breath sounds Rhonchi can clear with a cough or suctioning as well Rales crackles usually occur in the bases, unless you have a patient with fluid overload (CHF, pulm edema) - if the patient is in pulm edema due to CHF, you may have a combo going on, but at that point, discerning between rales and rhonchi is a moot point (patient needs immediate intervention)
Lung sounds: wheezing, rhonchi, crackles | Student Doctor Network If you need a resource this is in First Aid in the lung section The major pulm problem situations you should think of are lobar pneumonia vs pleural effusion and tension pneumothorax vs spontaneous pneumothorax
Lung sounds when on ventilator and or when on a trach? As far as I can tell, it seems that often when I hear gurgling or something that maybe sounds like rhonchi, it's the trach Or maybe some other sounds I hear on patients is their ventilator I just don't know Like this morning, I felt like I was hearing something pretty gurgling or snoring-like The patient was vented and trached
ctab | Student Doctor Network I'm actually kinda curious about the naming of crackles rales In the beginning of the year we had a physical diagnosis professor lecture to us that crackles was the correct term to use because rales is supposed to actually describe râle de la mort (death rattle)
Rhonchi or Wheeze | Student Doctor Network What is the difference between rhonchi and wheezes? Forums Communities Pre-Med Medical Resident Audiology Dental Optometry Pharmacy Physical Therapy Podiatry Psychology Rehab Sci Veterinary
NBME 12 discussion | Page 12 | Student Doctor Network Rhonchi are heard in both lung bases A chest x-ray shows hyperinflation consistent with chronic obstructive pulmonary dz, elevation of the Lt hemidiaphragm, and a Lt apical lung mass Involvement of which of the following structures best explains the Lt hemidiaphragm x-ray findings in this pt?
NBME 4 discussion | Student Doctor Network Breath sounds are decreased in all lung fields with rhonchi heard at bases and a prolonged expiratory phase She has sinus tachycardia and P pulmonale on EKG PFTs show FEV1 greater than 80% of predicted, FEV1 FVC ratio of 70% of predicted and a diffusion lung capacity of carbon monoxide greater than 60 % of predicted
H P Write-up Abbreviations | Student Doctor Network no w r r= no wheezes, rubs, or rhonchi LAD= lymphadenopathy PERRL= pupils equal round and reactive to light PNA= pneumonia PTX= pneumothorax PE= pulmonary embolism RRR= regular rate and rhythm CTAB= clear to auscultation bilaterally no CVAT= no costophrenic angle tenderness NCAT= normocephalic atraumatic WDWN= well developed, well nourished
Physical exam documentation | Student Doctor Network Respiratory: symmetric expansion on inspection; tactile fremitus was present equally bilaterally on palpation; lungs were resonant on percussion; vesicular breath sounds bilaterally, no wheezes, rales or rhonchi noted