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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.
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
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Lessons
1
Vesicular - Diminished
2
Bronchophony - Healthy
3
Bronchophony - Abnormal
4
Egophony - e
5
Egophony - a
6
Whispered Pectoriloquy - Healthy
7
Whispered Pectoriloquy - Abnormal
8
Wheeze - Expiratory
9
Wheeze - Monophonic
10
Wheeze - Polyphonic
11
Crackles - Early Inspiratory (Rales)
12
Crackles - Late Inspiratory (Rales)
13
Stridor
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.
CaseID
151
CourseID
202
CourseCaseOrder
7
ID
193