Page 54 - INTRODUCTION OF NURSING 1.4 The Nursing Process Part 1
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Percussion Sounds







                           Sound                              Intensity                    Pitch                  Length                Quality                 Example of

                                                                                                                                                                    origin



         Resonance (heard over part                               Loud                      Low                     Long                 Hollow                Normal lung

         air and part solid




         Hyper-resonance (heard                               Very loud                     Low                     Long               Booming                   Lung with
         over mostly air                                                                                                                                       emphysema




         Tympany (heard                                           Loud                     High                 Moderate               Drum like           Puffed-out cheek,

         over air)                                                                                                                                            gastric bubble



         Dullness (heard over more                             Medium                   Medium                  Moderate               Thud like  Diaphragm, pleural

         solid tissue                                                                                                                                              effusion




         Flatness (heard over very                                Soft                     High                     short                  Flat               Muscle, Bone,

         dense tissue                                                                                                                                                Thigh
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