Lungsounds for dunderheads

I have decided to use dunderheads here because dummies is already patented.  The following is lung sounds for dunderheads, and how you can use these "adventitious" lung sounds to the benefit of your patient.  Note:  Adventitious means abnormal lung sound. 

So your patient presents with dyspnea, now what?  Place your stethoscope to the patient's chest.
 

What you hear	What it is	Possible Cause	Possible Diagnosis
Coarse	Rhonchi.   It is a low-pitched, continuous sound that is best heard on expiration.	Air moving through secretions in upper airway. May radiate through lung fields and be confused as a wheeze.	COPD, pneumonia
Audible wheeze	Stridor, rhonchi	Adult: Secretions  up airway, secretions near vocal cords, dehydration Child: Inflammation upper airway Child/ Adult: Secretions may pool in upper airway due to bronchospasm*	Adult: Wet Child:  Croup Child/Adult: Asthma
Sibilant wheeze (only heard by auscultation)	Wheeze. This is a high-pitched continuous sound heard on inspiration, expiration, or both.	Bronchospasm	Asthma, COPD
Inspiratory and expiratory crackles (usually follow the path of gravity, if sitting or standing, will be in bases.**	Coarse Crackles or rhales. This is when crackles are heard on inspiration and expiration, and is the sound of air moving through fluid.	Fluid in lungs	Pulmonary edema, bilateral pneumonia May also be excessive secretions patient is unable to cough up
Inspiratory/ end inspiratory crackles	Fine Crackles	Alveoli popping open with each breath	Pneumonia, COPD
Diminished	Diminished	Poor air movement	Acute asthma, Emphysema

The following is the scientifically proven treatment for said lung sound:

Lungsound	Treatment
Rhonchi	Pulmonary toilet if patient not expectorating on own.  If expectorating, you monitor
Stridor	Adult:  Have patient cough, search for signs of heart failure (fluid overload, I&Os, etc.) Child:  Cool mist, racemic epinephrine Child/Adult:  Bronchodilator therapy
Wheeze	Bronchodilator therapy, systemic corticosteroids
Coarse Crackles	Pulmonary Edema:  Diuretics Bilateral Pneumonia:  Antibiotics
Fine Crackles (may be isolated to one lobe, or one segment of one lobe)	Pneumonia: Antibiotics COPD:  May be normal for patient
Diminished	Acute Asthma:  Bronchodilator therapy, systemic steroids Emphysema:  May be normal for patient

Please note:  I did not put bronchodilator down for the treatment of all the above adventitious lung sounds, only diminished and silent wheeze. 

*Due to inability of patient to generate enough flow to expectorate.
** By the path of gravity, I mean if the patient is sitting, the fluid will be at the bottom of the lungs (the bases), and if lying on left side, the fluid will travel to the left side.