Auscultation
Finally, listen to the chest with your stethoscope.
You must instruct the patient on how to breathe ? deeply, quietly (through an open mouth if necessary), without noises from the nose or larynx. Show him by example if necessary.
| AFRIKAANS | TRANSCRIPT | XHOSA |
|---|---|---|
| I see you?re looking tired. / Ek kan sien dat u moeg voel. / Ndiyabona ukhangeleka udiniwe. | ||
| We?re nearly done. / Ons is amper klaar. / Sesizakugqiba. | ||
| I just need to listen to your breathing. / Ek moet nog net na u asemhaling luister. / Ndifuna nje ukumamela indlela ophefumla ngayo. | ||
| Thank you. / Dankie. / Enkosi. |
As with percussion, proceed systematically and methodically down the anterior chest wall, comparing left with right. You should listen to about 3-4 spots on each side anteriorly, as well as in the axillae.
| AFRIKAANS | TRANSCRIPT | XHOSA |
|---|---|---|
| Please take deep, quiet breaths. / Haal diep, maar saggies asem. / Ndicela uphefumle ngamandla, ngokuzolileyo, ngokucothathayo. | ||
| Like this. / Doen dit so. / Kanje. |
As with percussion, proceed systematically and methodically down the anterior chest wall, comparing left with right. You should listen to about 3-4 spots on each side anteriorly, as well as in the axillae.
| AFRIKAANS | TRANSCRIPT | XHOSA |
|---|---|---|
| Breathe in...(and) out / Asem in... (en) uit. / Phefumlela ngaphakathi?ngaphandle. | ||
| Again... / Weer, asseblief. / Kwakhona. | ||
| That was good! thank you. / Dit was goed! Dankie. / Heke.Wenze kakuhle, enkosi. | ||
| Now you can rest. / Nou kan u rus. / Ungakhe uphumle ngoku. |
| The normal breath sound is described as vesicular. You will now hear vesicular breathing. | ||
| A number of abnormal sounds may be heard in disease. Bronchial breathing, for instance, is heard where the lung is consolidated. You will now hear bronchial breathing. | ||
| A wheeze is typical of small airways obstruction: typically asthma or emphysema. | ||
| Fine crackles are typical of pulmonary oedema. | ||
| Whereas coarse crackles often indicate infection. | ||
| Bronchial breathing and crackles may coexist in infection. | ||
| To remind you, here is normal vesicular breathing. |
