Health
Harsh, High-pitched, Loud - Answer You can hear bronchial sounds above the
manubrium, over the trachea. Bronchial Sounds are:
Medium in loudness, medium in pitch - Answer Bronchiovesicular sounds are heard
over the main bronchi. These sounds are:
Softest, lowest in pitch - Answer vesicular sounds are over the lower bronchi, the
bronchioles, and the lobes. The left lung has two lobes. The right lung has three lobes.
Right lung - Answer 3 lobes: Vesicular Right Superior, Vesicular Right Middle,Vesicular
Right Inferior.
Left lung - Answer 2 lobes: Vesicular Left Superior & Vesicular Left Inferior
Abnormal lung sounds - Answer Diminished or absent breath sounds, increased breath
sounds, & adventitious sounds.
Decreased Breath Sounds - Answer Normal lungs sounds are usually easy to hear with
a stethoscope. Occasionally you will hear sounds that are decreased in intensity, or
even absent. Decreased breaths sounds occur in airway disease or obstruction,
diaphragm paralysis, or impairment of sound transmission through the chest wall.
Worsening symptoms may lead to absent breath sounds. Absent lung sounds usually
indicate that no air is moving in the lung tissue.
Increased Breath Sounds - Answer A common abnormal finding is hearing bronchial or
bronchiovesicular sounds, which are louder and harsher, in peripheral lung tissue where
vesicular sounds are normally heard. This occurs when underlying lung tissue is filled
with liquid or solid material, rather than air.
Adventitious Sounds - Answer When you auscultate, you might hear abnormal sounds
in addition to the normal lung sounds. These additional abnormal sounds are called
adventitious sounds.
Crackles (Fine) - Answer High-pitched crackling sounds that occur when inhaled air
meets deflated alveoli, causing them to pop open. Short popping sounds, high-pitched,
Location: usually bases of lower lobes.Sound like the noise created by rolling a strand
of hair between your thumb and index finger. (likely Pneumonia)
Crackles (Coarse) - Answer loud, low-pitched bubbling sounds that are caused when air
meets secretions in the large airways. Short crackling sounds, low-pitched, Location:
trachea and large bronchi. Sounds like separating a Velcro fastener.