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Intermediate Lung Sounds

Whispered Pectoriloquy - Abnormal Sounds

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Voice high frequencies are more readily transmitted to the chest wall in abnormal lungs as compared to normal lungs.

Ask the patient to whisper "1-2-3" several times while auscultating across the chest walls. The lung area is abnormal if the "1-2-3" sound is understood. This is the abnormal '1-2-3'.

Compare this sound to the recording found in the "Whispered Pectoriloquy - Normal" lesson.

Whispered Pectoriloquy - Abnormal
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The recommended auscultation position for the stethoscope is the Chest wall position. For this sound, use stethoscope's Diaphragm.


maneuver
The recommended patient position is Sitting

Waveform

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
torso
lungs view
Lessons
1Vesicular - Diminished
2Bronchophony - Healthy
3Bronchophony - Abnormal
4Egophony - e
5Egophony - a
6Whispered Pectoriloquy - Healthy
7Whispered Pectoriloquy - Abnormal checkmark
8Wheeze - Expiratory
9Wheeze - Monophonic
10Wheeze - Polyphonic
11Crackles - Early Inspiratory (Rales)
12Crackles - Late Inspiratory (Rales)
13Stridor
left button        right button
Practice Drill



Listening Tips
A synopsis of important sound features and timing for this abnormality.
Ask patient to whisper 1-2-3 several times. Auscultate across chest walls. Abnormal if 1-2-3 sound is understood.
CaseID151
CourseID202
CourseCaseOrder7
ID193



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This website is only for medical professional education. Contact a healthcare provider for medical care. Copyright 2011-2020 © MedEdu LLC. All Rights Reserved. About | Privacy Policy | Email

  • mededu company logo
  • facebook like
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  • email share