-Croup
-Pertussis
-Epiglottis
-Bronchiolitis
-Pneumonia
more
+
strider:
respiratory
Grunern:expiratory
wheeze:11, moniesptexpor
Rhonch: isp expir+
Low pitched
Gruntrng:Expiratory sound
due to sudden closure
of
Gloters during expirate
, Monophonic wheez : inspiratory
+ C- pirating / Expir .
Obstruction / compression of a large central airway
Polyphonic , ,
: ONLY =
Expiration
- diffuse small airway obstruction / compression
obstructed
-
many airways
DDX
asthma , Bronchitis ,
CF , CHF , P edema.
musical
← Rhonchi ( large airway sounds)
lopwitched sounds
-
Contrarious gurgling / bubbling
-
Inspiratory Expiratory
+
-
movement secretion / fluids in large
of airways
may clear w/ coughing
, stridor __ URT wheeze
-
high pitched , whistling as URT breath sound heard during expiration
inspiration > expiration - .
narrowed /obstructed
airway
ass . w/ expiratory phase prolongation
DDX -
obstruction w/in thorax
FB / Tumors high / low
① croup 21
-
pitched small / large obstruction
a
Epiglottitis s Peritonsillar/ retropharyngeal
abscess
↳ monophonynie /polyphonic
3
Upper airway narrowing often intubation
6 airway edema from allergic rxn DDX
i Extrinsic lower airway compression
:
* often heard wlo stethoscope -
Pneumon ' Pulmonary Edema , bronchogenic
cyst
-
Obstruction anywhere ,
nose → thorax.u inlet Vascular : enlarged left atrium compressing
DDX left mainstem bronchus
1 Nose +
Nasopharynx - Enlarged hiker LN
choanal atresia , inflammation (Rhinitis + Sinusitis -
chest deformities 1 scoliosis
2 mouth , oropharynx hypopharynx
, 2 Intrinsic Lower airway:
congenital ))
↳ macroglossia ↳ glossoptosis ( obstruction Asthma , bronchiolitis , bronchitis bronchiectasis
,
↳ Tonsiler Hypertrophy ↳ Masses + FB CF ,
ciliary dz , Haemangiima / Polyps ,
3
Larynx : Tracheobronchomalaaci
Laryngomalacia Laryngeal web / cleft Intraluminal lower
, ,
3
airway obstruction :
Vocal chord FBI food /milk aspiration from GERD
paralysis , GERD , Epiglottitis
-
,
mucus
pus, blood
-
,
croup , hemangioma ,
abscess ,
Trauma : Subglottic stenosis , FB inhalation SOB
4 Trachea : Heart airway muscular
T 7
Tracheomalacia , Tracheoesophageal Fistula, -
Cong.HD upper lower - Duchenne MD
Bacterial Tracheitis -
Pericarditis -
Diaphragmatic Paralysis
-
myocarditis
* Restrictive lung dz : chest wall 1 obesity )
chest deformity kypho scoliosis
,
* Hypoxia : VQ mismatch 1 pneumonia , PE
pneumothorax )
-Pertussis
-Epiglottis
-Bronchiolitis
-Pneumonia
more
+
strider:
respiratory
Grunern:expiratory
wheeze:11, moniesptexpor
Rhonch: isp expir+
Low pitched
Gruntrng:Expiratory sound
due to sudden closure
of
Gloters during expirate
, Monophonic wheez : inspiratory
+ C- pirating / Expir .
Obstruction / compression of a large central airway
Polyphonic , ,
: ONLY =
Expiration
- diffuse small airway obstruction / compression
obstructed
-
many airways
DDX
asthma , Bronchitis ,
CF , CHF , P edema.
musical
← Rhonchi ( large airway sounds)
lopwitched sounds
-
Contrarious gurgling / bubbling
-
Inspiratory Expiratory
+
-
movement secretion / fluids in large
of airways
may clear w/ coughing
, stridor __ URT wheeze
-
high pitched , whistling as URT breath sound heard during expiration
inspiration > expiration - .
narrowed /obstructed
airway
ass . w/ expiratory phase prolongation
DDX -
obstruction w/in thorax
FB / Tumors high / low
① croup 21
-
pitched small / large obstruction
a
Epiglottitis s Peritonsillar/ retropharyngeal
abscess
↳ monophonynie /polyphonic
3
Upper airway narrowing often intubation
6 airway edema from allergic rxn DDX
i Extrinsic lower airway compression
:
* often heard wlo stethoscope -
Pneumon ' Pulmonary Edema , bronchogenic
cyst
-
Obstruction anywhere ,
nose → thorax.u inlet Vascular : enlarged left atrium compressing
DDX left mainstem bronchus
1 Nose +
Nasopharynx - Enlarged hiker LN
choanal atresia , inflammation (Rhinitis + Sinusitis -
chest deformities 1 scoliosis
2 mouth , oropharynx hypopharynx
, 2 Intrinsic Lower airway:
congenital ))
↳ macroglossia ↳ glossoptosis ( obstruction Asthma , bronchiolitis , bronchitis bronchiectasis
,
↳ Tonsiler Hypertrophy ↳ Masses + FB CF ,
ciliary dz , Haemangiima / Polyps ,
3
Larynx : Tracheobronchomalaaci
Laryngomalacia Laryngeal web / cleft Intraluminal lower
, ,
3
airway obstruction :
Vocal chord FBI food /milk aspiration from GERD
paralysis , GERD , Epiglottitis
-
,
mucus
pus, blood
-
,
croup , hemangioma ,
abscess ,
Trauma : Subglottic stenosis , FB inhalation SOB
4 Trachea : Heart airway muscular
T 7
Tracheomalacia , Tracheoesophageal Fistula, -
Cong.HD upper lower - Duchenne MD
Bacterial Tracheitis -
Pericarditis -
Diaphragmatic Paralysis
-
myocarditis
* Restrictive lung dz : chest wall 1 obesity )
chest deformity kypho scoliosis
,
* Hypoxia : VQ mismatch 1 pneumonia , PE
pneumothorax )
