Wheezing1 - All That Wheezes All That Wheezes Andrew...

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Unformatted text preview: All That Wheezes All That Wheezes Andrew Lipton, MD, MPH&TM Andrew Lipton, MD, MPH&TM MAJ, USA, MC MAJ, USA, MC Chief, Pediatric Pulmonology Chief, Pediatric Pulmonology San Antonio Military Pediatric Center San Antonio Military Pediatric Center What is a wheeze Definitions of obstructive noises Stertor Low-pitched, rumbling Inspiratory Nasopharynx, oropharynx, nasal passage Loudest over neck, cheeks What is a wheeze Definitions of obstructive noises Stridor Harsh noise caused by turbulent flow Inspiratory = larynx Expiratory = trachea Biphasic = fixed lesion in subglottic region What is a wheeze Definitions of obstructive noises Wheeze Higher-pitched expiratory noise Monophonic, homophonous = large airway = expiratory stridor Polyphonic, heterophonous, musical = small airways What is a wheeze Definitions of obstructive noises Secretory Noise Gurgling, polyphonic, upper or lower airway Highly variable-5-5 +5 Pre-Inspiration-7-7-3 +5-2-1-1 Inspiration-7-7-3 +5-2-2-2 Inspiration-8-8 +8 End Inspiration +30 +30 +38-10 +30 +5 +20 +10 +5 Forced Expiration +30 +30 +38-20 +30 +1 +10 +5 +1 Forced Expiration Stertor...
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Wheezing1 - All That Wheezes All That Wheezes Andrew...

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