Normal Vesicular 645 Lesson
The patient was seated during auscultation.
Description
Bronchial breath sounds are hollow, tubular sounds that are higher-pitched compared to vesicular sounds. They can be auscultated over the trachea and anteriorly along each side of the sternum, from the second to fourth intercostal spaces. Posteriorly, along the vertebral column from the third to sixth intercostal spaces.
The stethoscope's diaphragm should be used for these breath sounds. There is a distinct pause in the sound between inspiration and expiration. I:E ratio is 1:3.
Phonocardiogram
Authors and Sources
Authors and Reviewers
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Heart sounds by Dr. Jonathan Keroes, MD and David Lieberman, Developer, Virtual Cardiac Patient.
- Lung sounds by Diane Wrigley, PA
- Respiratory cases: William French
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David Lieberman, Audio Engineering
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Heart sounds mentorship by >W. Proctor Harvey, MD
- Special thanks for the medical mentorship of Dr. Raymond Murphy
- Reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.
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Last Update: 11/10/2021
Sources
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Heart and Lung Sounds Reference Library
Diane S. Wrigley
Publisher: PESI -
Impact Patient Care: Key Physical Assessment Strategies and the Underlying Pathophysiology
Diane S Wrigley & Rosale Lobo - Practical Clinical Skills: Lung Sounds
- PESI Faculty - Diane S Wrigley
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Case Profiles in Respiratory Care 3rd Ed, 2019
William A.French
Published by Delmar Cengage -
Essential Lung Sounds
by William A. French
Published by Cengage Learning, 2011 -
Understanding Lung Sounds
Steven Lehrer, MD
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Clinical Heart Disease
W Proctor Harvey, MD
Clinical Heart Disease
Laennec Publishing; 1st edition (January 1, 2009) -
Heart and Lung Sounds Reference Guide
PracticalClinicalSkills.com
