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Discussion

Delayed lung sounds?

Hi all! I work in Oncology and have an 'out of curiousity' question.. I was auscultating a man's lungs the other day, one lung sounded normal... but the other seemed to have a delay between the time that I saw his chest rise and actually heard the lung sound begin. Hope this makes sense? I could see that he'd begun a breath visually, but it took a portion of a second to actually hear it through my stethoscope..

Then I would be able to hear it it last a fraction of a second after the chest had ceased movement.

Just trying to figure out what in the world this is for curiousity sake. I looked online, and saw mentions of delayed lung sounds, but couldn't find an answer. Thanks!!

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AW obstruction of some sort. Typically Pt's with obstructive disease have an extended expiratory phase, however I've noted prolonged inspiratory time as well, sometimes accompanied by wheezes or squeaks (often mid- inspiratory). I knew exactly what you meant by your description, thoracic expansion followed by breath sounds. Interesting though you only hear it unilaterally, does this man have lung CA?

  • Author

Mets to the lungs. Thank you for the awesome answer! I asked my co-workers, and no one knew.. So I was beginning to think I had imagined it. Very interesting post, thanks.

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