BREATH SOUNDS CSC RESPIRATORY SYSTEM
ABNORMAL
NORMAL
TYPE OF
SOUND
CONTINUOUS
VESICULAR
MECHANISM
OF SOUND
PRODUCTION
CHARACTERI
STIC
FEATURES
CLINICAL
CONDITIONS
ASSOCIATED
Due to
turbulence of
air flow
Transmitted
through
smaller
airways
Modified by
distal
structures
BRONCHIAL
WHEEZE
Inspiration >
expiration
No gap
Pleural effusion
Pneumothorax
Pulmonary
collapse
OTHERS
CRACKLES
PLEURAL
FRICTION RUB
STRIDOR
Due to
turbulence
in large
airway
No
modification
No
attentuation
DISCONTINUO
US
Inspiration
= expiration
Clear gap
Pneumonia
Pulmonary
fibrosis
Pulmonary
collapse
Due to
narrowing
of smaller
airways
Prolonged
expiration
phase
Prolonged
musical
sound
whistling
sounds
Bilateral wheeze
Asthma
Bronchitis
COPD
Unilateral wheeze
tumor
Due to
narrowing of
the larger
airways
Prolonged
musical sound
Loud and harsh
Tumor masses
Acute croup
Laryngomalacia
ARVINTH GUNA SEGARAN MBBS BATCH 21, YEAR 2 CSC
Due to
sudden
changes in
gas
pressure
Sudden
opening of
previously
closed small
airways
Short
explosive
sounds
Heard as
bubbling or
clicking
Pneumonia
COPD
Chronic
bronchitis
Lung
abscess
Two inflamed
surfaces of
pleura
rubbing each
other
A rubbing or
grating
sound
Louder =
inspiration
Better
detected
patient
leaning
forward
Pneumothora
x
Pneumonia
pleuritis
BREATH SOUNDS CSC RESPIRATORY SYSTEM
WHAT I THINK
IT IS
ARVINTH GUNA SEGARAN MBBS BATCH 21, YEAR 2 CSC