Coarse vs fine crackles lungs
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Auscultation of lungs, main respiratory sounds (bronchial and vesicular breathing). Auscultation of lung. s, adventitious respiratory sounds (rales, crepitation and pleural fricti
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Lungs: can have bad lung disease (usu. w/ anti-Jo1) Vasculitis of the gastrointestinal tract, kidneys, lungs, and eyes can complicate dermatomyositis (but not polymyositis), particularly in children Malignancy: relative risk 6.2 (about 20%, no particular type) / DM often diagnosed after or at same time as cancer, then risk decreases to 1.6 ...
[DOC File]Hypertension Case Study - KeithRN
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Fine Crackles- (Fine Rales); high pitched, (rubbing hair by ear, fire) Coarse Crackles- (Coarse Rales): loud, low pitched, bubbling; may clear with coughing. Inhaled air collides with secretions in trachea & large bronchi. Wheezes- high, musical whistling; air passing thru constricted airway (asthma)
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Excess fluid volume R/T compromised regulatory mechanisms, dialysis, adventitious breath sounds, and altered electrolytes AEB coarse lung sounds with diminished breath sounds and crackles at bases, patient on CRRT with orders to match intake with output, chest X-ray 2/21 showing worsening pleural effusions, patient had bilateral nephrectomy so ...
Breath Sound Assessment: Background, Technique, Normal vs Abn…
Coarse crackles in both lungs…increased hydrostatic pressure in pulmonary vessels due to left sided HF that results in fluid in the alveolar space. Rr/28-Labored resp effort…see above. 90% on RA…see above. Anxious likely related to hypoxia and resp. distress sue to acute pulmonary edema secondary to HF. Clinical Reasoning Begins…
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Auscultation of the lungs is generally negative in patients with PCP, although fine crackles may occasionally be heard. Mucocutaneous lesions such as oral thrush, hairy leukoplakia, and Kaposi’s sarcoma are common and suggest the presence of underlying HIV-related immunodeficiency in previously undiagnosed individuals.
Instructure
Fine crackles are characterized by the initial detection width of 0.9 ms and two cycle duration of 6 ms, while these characteristics for coarse crackles are 1.25 ms and 9.5 ms, respectively. Squawks are a combination of wheezes and crackles, they may start with fine crackles and then sound like short inspiratory wheezes.
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Fine crackles- a dry, high pitched crackling, popping sound, of short duration, predominantly heard in inspiration. Sound is produced similar to rolling hair between fingers. Heard in COPD, CHF, Pneumonia, Pulmonary fibrosis. Coarse crackles- Moist, low-pitched crackling, gurgling sound, of long duration predominantly in inspiration.
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Fine Crackles. Intermittent. High ... Coarse Crackles. Intermittent. Loud Low. Brief. Both. Noisy . Plural friction. Continuous. Low. Both. Non musical. Abdomen. Inspect. Auscultate. Palpate. Current condition; Identify from handover/ patient: ... Acids produced by the body's metabolic processes are removed by our lungs, kidneys and chemical ...
Pathology
OE Large vol purulent sputum; Clubbing; Coarse crackles; Pneumonia, pleurisy, empyema, lung abscess; Signs of R heart failure, cor pulmonale Ix Bloods Ig levels; ABG
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