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Vesicular - Diminished

Vesicular - Diminished

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.


Patient Recording

patient heart or lung sound
Vesicular - Diminished


Patient Recording - Half Speed Playback

patient heart or lung sound
Vesicular - Diminished



Position

Patient position
The patient's position should be sitting.

Listening Tips

Features:Lower intensity than bronchial sounds, normal inspiration to expiration ratio of 3 to 1 or 4 to 1


Waveform (Phonocardiogram)

Authors

These authors contributed the audio recordings and text found in this reference guide: Jon Keroes, MD,Diane Wrigley, PA, and David Lieberman.
Medically reviewed by Dr. Barbara Erickson, PhD, RN, CCRN.

Sources


Sources




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