Heart
Heart Sounds Introduction
Pediatrics: When To Refer
Heart Murmur
Normal Heart Sounds
First Heart Sounds
Second Heart Sounds
Extra Heart Sounds (S3 & S4)
Systolic Murmurs
Diastolic Murmurs
Complex Conditions
Congenital Abnormalities
Cardiac Conditions Assoc. with Sudden Death
Heart Sounds in Primary Care
Auscultation Repetition Training
Heart Sounds Guide
Lungs
Lung Sounds Introduction
Basic Lung Sounds
Intermediate Lung Sounds
Lung Sounds Guide
Intro To Lung Sounds
Blood Pressure
Taking Blood Pressure
Measuring Blood Pressure Procedure
Adult Case Studies Part I
Adult Case Studies Part II
High Blood Pressure in Children
Extras
Terms
Quizzes
Heart Sounds Guide
Lung Sounds Guide
Sonography Training (free)
Join
Intermediate Lung Sounds
Vesicular - Diminished
Unlock lessons, quizzes and more.
Sign Up
Diminished vesicular sounds are of lower intensity and are less full or robust than vesicular sounds. These sounds can occur in patients who move a lowered volume of air, such as in frail, elderly patients or shallow breathing patients. They are also heard with obese or highly muscular patients, where tissue mass impedes sound. They exhibit a normal inspiration to expiration ratio of 3 to 1, or 4 to 1.
play
pause
The recommended auscultation position for the stethoscope is the
Chest wall
position. For this sound, use stethoscope's
Diaphragm
.
The recommended patient position is
Sitting
Waveform
This waveform plots sound amplitude on the vertical axis against time on the horizontal axis.
Skin and Ribs
Blended View
Lungs
Move slider to reveal lungs
Lessons
Vesicular - Diminished
Bronchophony - Healthy
Bronchophony - Abnormal
Egophony - e
Egophony - a
Whispered Pectoriloquy - Healthy
Whispered Pectoriloquy - Abnormal
Wheeze - Expiratory
Wheeze - Monophonic
Wheeze - Polyphonic
Crackles - Early Inspiratory (Rales)
Crackles - Late Inspiratory (Rales)
Stridor
Practice Drill
Listening Tips
A synopsis of important sound features and timing for this abnormality.
Lower intensity than bronchial sounds, normal inspiration to expiration ratio of 3 to 1 or 4 to 1.
CaseID
135
CourseID
202
CourseCaseOrder
1
ID
187