They say the only stupid question is the one you never ask so here goes nothing...
when auscultating lung sounds laterally, is it possible to hear bowel sounds (stomach, mainly, gurgling) while auscultating or am I wrong. Because it didn't sound like a crackle or pleural rub or anything... it sounded quite like a bowel sound square and simple. I wasn't too low wither I was above the nipple laterally hence why I was surprised to hear something like that. What made me believe it wasn't a crackle as well is the fact that it appeared and disappeared.
is this possible? What could cause it!?
also does anyone have any great resources on learning the specifics of lung auscultation techniques?
And they are commonly referred to as diminished, right?
I had a patient with minimal wheezing in the middle lobes who after many deep breaths and a follow up assessment was completely clear. He was on 2L of o2 & in semi fowlers is that possible!?
Yes, it is possible. If you hear coorifice lung sounds where you should be hearing bronchovesicular sounds, you just have them cough and clear their secretions and, voila, clear lung sounds. Also, wheezing is a bronchial issue and it is possible that the deep breaths allowed them to relax enough for the restriction of air flow to stop and the wheezing to disappear, just like you would hope a breathing treatment would do the same for someone with asthma.
la_chica_suerte85, BSN, RN
1,260 Posts
Yes, it is possible. If you hear coorifice lung sounds where you should be hearing bronchovesicular sounds, you just have them cough and clear their secretions and, voila, clear lung sounds. Also, wheezing is a bronchial issue and it is possible that the deep breaths allowed them to relax enough for the restriction of air flow to stop and the wheezing to disappear, just like you would hope a breathing treatment would do the same for someone with asthma.