شرح دكتور احمد عادل
#سكل_لاب
#الrespiratory ◾

شرح دكتور احمد عادل
#سكل_لاب
#الrespiratory ◾

هاي اهم الملاحظات مال محطة الريسبا

حطيتلكم الصوت المُشابه وكل صوت وياه كليشته وأسبابه تكدرون تعتمدون عليهن ⬇️⬇️⬇️⬇️

💥Auscultation:
Normal sound in lung Vesicular

Added sounds: wheezes-Crackles-stridor ---

Wheezing :

Normal air intensity all over the lung
vesicular breathing all over the lung with prolongation of expiratory phase

Regarding added sounds there is expiratory ( localized , generalized wheezing )
in ( mention the area )
الدكتور كال عادة نحطه (diffuse ( generalized

DDx if wheeze all over the lung

( diffuse or generalized wheezing ) :
Diffuse
Asthma
Cardiac asthma
Acute bronchitis
Chronic bronchitis
Bronchiolitis

Localized
Foreign body
Tumour
Mucus inspiration
Compression from outside
Bronchiectasis

Fine Crackles :

Normal air intensity all over the lung
Normal vesicular breathing all over the lung without prolongation of expiratory phase

Regarding added sounds there is inspiration fine crackles in ( mention the area )

DDx :
1- Idiopathic Pulmonary Fibrosis
2- Pulmonary Odema
3- ILD
4- Early Phase Of Pneumonia
5- Atypical Pneumonia

Coarse Crackles :

Normal air intensity all over the lung
Normal vesicular breathing all over the lung without prolongation of expiratory phase

Regarding added sounds there is biphasic coarse crackles in ( mention the area )

DDx :
1- Advance Pulmonary Odema
2- Pneumonia
3- Acute Bronchitis
4- Bronchiectasis
5- Lung Abscess

- Crackles it a deep breathing to represent the sudden opening of small airways

💥Vocal resonance

Causes of increased vocal resonance: consolidation and collapse

Causes of decreased vocal resonance: pleural effusion, pneumothorax, collapse with obstructed bronchus.

للي عدهم consolidation نسويلهم شي اسمه Whispering pectoriloquy نكله اهمس بصوت ناصي ونسمع بالسماعة فحنلكه الصوت عالي عبالك ديحجي بصوت عالي

وهمات نسوي شي اسمه Aegophony وهذه هنا نكوله كول eeeeee حنسمعها aaaaa

Good air intensity

Abnormal vesicular breathing replaced by bronchial breathing in abnormal locations all over the lung with prolonged of expiratory phase

There is a gap between expiration and inspiration

DDX if it is localized
lung consolidation ( most common cause )
Lung collapse
Lung tumour
Lung Abcess

DDX if it is generalized
Pulmonary fibrosis
Pulmonary Odema
Pleural effusion
Sever pneumonia