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.

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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

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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