Auscultate the Anterior Chest

Auscultation of the anterior chest is performed in the supraclavicular fossae, the axillae, and the anterior chest interspaces, as illustrated in Figure 13-22. The techniques of auscultation have already been discussed. The breath sounds of one side are compared with the breath sounds heard in the corresponding position on the other side.

Table 13-6 Timing of Common Inspiratory Crackles

Disease

Early Crackle

Very common Present

Late Crackle

Congestive heart failure Obstructive lung disease Interstitial fibrosis

Absent

Absent

Common

Present

Pneumonia

Absent

Present

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