REVIEW PAPER
Lung auscultation – Identification of common lung sound abnormalities and associated pathologies
 
More details
Hide details
1
Student Scientific Society, Medical University, Lublin, Poland
 
2
Department of Internal Medicine, Medical University, Lublin, Poland
 
3
Department of Family Medicine, Institute of Rural Health, Lublin, Poland
 
 
Corresponding author
Andrzej Prystupa   

Chair and Department of Internal Medicine, Medical University, Staszica 16, 20-081 Lublin, Poland
 
 
J Pre Clin Clin Res. 2013;7(1):32-35
 
KEYWORDS
ABSTRACT
Objective:
The purpose of this review is to show the present state of art on breath sounds and lung auscultation, including normal and adventitious lung sounds, especially how they originate, and to which of the most common diseases they are related.

Material and Methods:
The history of auscultation and the first stethoscope is presented, followed by the classification and description of physiologic lung sounds with regard to the lung regions where they should be heard and the sound characteristics. Added lung sounds, including their classification, distinction between continuous and discontinuous sound, as well as the presentation of the diseases most commonly associated with them are presented.

Results:
Since it may be found that breath sounds are difficult to understand it is reasonable to present a simple method of lung auscultation that may be helpful in the education of medical students. The usefulness of lung auscultation in diagnosing the most common diseases, with special regard to lung disorders, is of great importance.

Conclusions:
The short and simple presentation of lung sound, auscultation methods and their application in clinical practice has been presented, and may be helpful for medical staff.

REFERENCES (17)
1.
Abdulla R. The history of the stethoscope. Pediatr Cardiol. 2001; 22(5): 371–372.
 
2.
Roguin A. Rene Theophile Hyacinthe Laënnec (1781–1826): The Man Behind the Stethoscope. Clin Med Res. 2006; 4(3): 230–235.
 
3.
Murphy R. Auscultation of the lung: past lessons, future possibilities. Thorax. 1981; 36(2): 99–107.
 
4.
Forgacs P. Crackles and wheezes. Lancet 1967; 22: 203–205.
 
5.
Jones A. A Brief Overview of the Analysis of Lung Sounds. Physiotherapy. 1995; 81: 37–42.
 
6.
Kirton C. Physical assessment. Assessing breath sounds. Nursing. 1996; 26(6): 50–51.
 
7.
Piirilä P, Sovijärvi AR.Crackles: recording, analysis and clinical significance. Eur Respir J. 1995; 8(12): 2139–48.
 
8.
Nath A, Capel L. Inspiratory crackles and mechanical events of breathing. Thorax. 1974; 29(6): 695–698.
 
9.
Vyshedskiy A, Ishikawa S, Murphy RL Jr. Crackle pitch and rate do not vary significantly during a single automated-auscultation session in patients with pneumonia, congestive heart failure, or interstitial pulmonary fibrosis. Respir Care. 2011; 56(6): 806–817.
 
10.
Vyshedskiy A, Alhashem R, Paciej R, Ebril, M, Rudman I, Fredberg J, Murphy R. Mechanism of inspiratory and expiratory crackles. Chest. 2009; 135(1): 156–164.
 
11.
Albertson T, Louie S, Chan A. The diagnosis and treatment of elderly patients with acute exacerbation of chronic obstructive pulmonary disease and chronic bronchitis. J Am Geriatr Soc. 2010; 58(3): 570–579.
 
12.
Meltzer EB, Noble P W. Idiopathic pulmonary fibrosis. Diseases. Orphanet J Rare Dis. 2008; 3: 1750–1172.
 
13.
Dalmasso F, Guarene M, Spagnolo R, Benedetto G, Righini G. A computer system for timing and acoustical analysis of crackles: a study in cryptogenic fibrosing alveolitis. Bull Eur Physiopathol Respir. 1984; 20(2): 139–144.
 
14.
Meslier, N, Charbonneau, G, Racineux, J. Wheezes. Eur Respir J. 1995; 8(11): 1942–1948.
 
15.
Habukawa C, Nagasaka Y, Murakami K, Takemura T. High-pitched breath sounds indicate airflow limitation in asymptomatic asthmatic children. Respirology 2009; 14(3): 399–403.
 
16.
Omori H, Fujimoto K, Katoh, T. Computed-tomography findings of emphysema: correlation with spirometric values. Curr Opin Pulm Med. 2008; 14(2): 110–114.
 
17.
Taplidou, SA, Hadjileontiadis, LJ. Wheeze detection based on timefrequency analysis of breath sounds. Comput Biol Med. 2007; 37(8): 1073–1083.
 
eISSN:1898-7516
ISSN:1898-2395
Journals System - logo
Scroll to top