How do you check a chest with a stethoscope?

Published by Charlie Davidson on

How do you check a chest with a stethoscope?

Ask the patient to breathe in and out normally through their mouth. Use diaphragm of stethoscope (Fig 1). Anterior chest: auscultate from side to side (Figs 2 and 3) and top to bottom. Auscultate over equivalent areas and compare the volume and character of the sounds and note any additional sounds.

What is the method of chest auscultation?

Chest auscultation involves using a stethoscope to listen to a patient’s respiratory system and. Auscultation is a fundamental component of physical examination that can assist in the diagnosis of respiratory issues.

Are Rhonchi and wheezes the same?

1. Sonorous Wheezes (Rhonchi) What was once called ‘rhonchi’ are now mostly referred to as sonorous wheezes (though the terms are still used interchangeably). Sonorous wheezes are named thusly because they have a snoring, gurgling quality to them, or similar to a low-pitched moan, more prominent on exhalation.

How to do an auscultation of the chest?

To undertake a thorough assessment of the chest, including auscultation, it is essential to understand the anatomy and physiology of the respiratory system. Fig 1 illustrates the anatomy of the lungs and Fig 2 highlights the location of the lung lobes from an anterior chest perspective.

Where are the auscultation points of the lung?

Start at: the apex of the lung which is right above the clavicle Then move to the 2nd intercostal space to assess the right and left upper lobes. At the 4th intercostal space you will be assessing the right middle lobe and the left upper lobe. Then midaxillary at the 6th intercostal space you will be assessing the right and left lower lobes.

Why does my chest hurt after chest auscultation?

It could be caused by lung disorders that inhibit the transmission of sounds, for example, a pneumothorax, pleural effusion or areas of lung consolidation. All these conditions prevent airflow reaching parts of the lung due to a pathological change in the function of the lung.

How is auscultation used in a cardiac assessment?

Auscultation is an important part of an assessment of the respiratory system and is also used for cardiac and gastrointes- tinal examination. The procedure should always form part of an holistic assessment and must be viewed alongside the patient’s clinical history (Box 1).

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