![]() ![]() This type of breath sound is associated with consolidation. Bronchial: harsh-sounding (similar to auscultating over the trachea), inspiration and expiration are equal and there is a pause between. Skin turgor is prompt with good elasticity. Vesicular: the normal quality of breath sounds in healthy individuals. A chest X-ray reveals blunting of the costophrenic angle. INTEGUMENTARY (UE) -Inspect UE for: o Color o Pigmentation o Temp o Moisture o Texture o Turgor Supraclavicular Dorsum of hands o Lesions o Skin color is congruent to ethnicity/background. Significant bilateral lower extremity edema is also noted. Chest examination of the left posterior chest reveals a dull percussion note, inaudible bronchovesicular breath sounds, decreased tactile fremitus, a pleural friction rub on inspiration and diminished voice sounds below the sixth intercostal space. The patient with a pain rating of 7 on a 0 to 10 pain scale whose oxygen saturation is 91. Vital signs are BP 150/90, HR 96, RR 26, O2 94% on room air. The patient who is in a tripod position and breathing through pursed lips. Normal vesicular breath sounds were heard bilaterally on examination of the chest. Some asthma symptoms includeTrusted Source: 1. He denies recent travel, sick contacts, occupational exposure, and drug or alcohol use. Asthma is a chronic condition that causes airways to become inflamed and narrowed. Figure 2: HRCT thorax showing bilateral peripheral subpleural. The patient has other co-morbidities, including CAD, COPD, CHF, hypertension, and dyslipidemia. Auscultation of the chest revealed normal vesicular breath sounds, with no added sounds. The nomenclature of the normal lung sound, also called the breath sound (see also Other Respiratory Sounds in RESPIRATORY SOUNDS sec- tion) or vesicular sound. Adventitious breath sounds documented as crepitations heard over both lung fields. PMH is significant for a smoking history of 2 packs/day for 40 years (80 pack-years). Pain is worse when he takes a deep inspiration and when he coughs. Broncho-vesicular sounds auscultated anteriorly around the upper sternum and 1 st and 2 nd intercostal spaces (bilateral upper lung apices), and posteriorly between the scapulae. A 72-year-old man presents with longstanding and increasing dyspnea and a 3-day history of shortness of breath, coughing, and unilateral sharp chest pain. Bronchial sounds were auscultated over the trachea, larynx and apices of the bilateral upper lobes. ![]()
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