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- lung sounds: rales vs crackles vs ronchi vs coarse breath sounds . . .
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)
- ctab | Student Doctor Network
There are wet rales, the crackling rales, the things Hippocrates described as boiling water, referring to inspiratory crackles of atelectasis There are gurgling rales , probably ronchi There are Low-Pitched Wheezes (Rale sec sonore ou ronflement), or a musical ronchus, which is really just a wheeze, maybe stridor
- Pathophysiology of lung crackles rales | Student Doctor Network
2 If I had to guess, the stiffening of respiratory conducting systems results in a greater amount of pressure necessary to open the alveoli, so there is a threshold that is reached where the alveoli POP open and cause crackles rales The second would be my guess but it seems to make sense
- pronounce it right | Student Doctor Network
Rales: it's "rahls" not "rayles " If you can't pronounce it, just say crackles, damnit Funky This space
- EKO stethescope | Student Doctor Network
The amplified lung sounds help a bit and helps me clearly distinguish fine velcro rales of IPF versus the wet rales of CHF Recording it compare later on might be helpful (though I do lung U S for B lines and a focused subcostal echo and IVC so that's better anyway)
- SOE PRACTICE QUESTIONS - Student Doctor Network Communities
Lungs: bilateral basilar rales CAROTID ANGIOGRAM: Left carotid: 90% stenotic lesion with plaque ulceration Right carotid: 85% stenotic lesion Basilar system without plaques Incomplete circle of Willis noted ECHO: Echocardiogram the day prior to surgery: left ventricle ejection fraction 40% with inferior and anterior
- Tips on being a good ER Scribe? | Student Doctor Network
You will begin to catch on to presentations that occur over and over, and things that physician's tend to look for, like meningeal signs in a headache, peritoneal signs in abdominal pain, wheezes rhonchi rales in coughers SOB, and so on This stuff gets routine and you will have go-to phrases you can put in your MDM
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