7.
Review the causes of decreased breath sounds
Absent or Reduced Breath Sounds
Definition:
Reduction in the intensity (loudness) of breath sounds is commonly described as reduced 'air
entry'.
Absent or decreased sounds can mean:
Air or fluid in or around the lungs (such as pneumonia, heart failure, and pleural effusion)
Increased thickness of the chest wall
Over-inflation of a part of the lungs (emphysema can cause this)
Reduced airflow to part of the lungs
It can be generalised or localised.
Causes of generalised reduction in intensity of breath sounds include:
Obesity
Hyperinflation of the lungs (e.g. COPD)
Hypoventilation (e.g. life-threatening asthma)
Causes of localised reduction in breath sounds include:
Bronchial occlusion (preventing air entry into a lobe)
Collapsed lung or lobe
Pleural effusion or pneumothorax (causing reflection of the sounds)
Unilateral paralysis of the diaphragm or intercostal muscles (causing reduced ventilation)
ARVINTH GUNA SEGARAN M15091124