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.

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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

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

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