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<p:notes xmlns:a="http://schemas.openxmlformats.org/drawingml/2006/main" xmlns:r="http://schemas.openxmlformats.org/officeDocument/2006/relationships" xmlns:p="http://schemas.openxmlformats.org/presentationml/2006/main"><p:cSld><p:spTree><p:nvGrpSpPr><p:cNvPr id="1" name=""/><p:cNvGrpSpPr/><p:nvPr/></p:nvGrpSpPr><p:grpSpPr><a:xfrm><a:off x="0" y="0"/><a:ext cx="0" cy="0"/><a:chOff x="0" y="0"/><a:chExt cx="0" cy="0"/></a:xfrm></p:grpSpPr><p:sp><p:nvSpPr><p:cNvPr id="2" name="Slide Image Placeholder 1"/><p:cNvSpPr><a:spLocks noGrp="1" noRot="1" noChangeAspect="1"/></p:cNvSpPr><p:nvPr><p:ph type="sldImg"/></p:nvPr></p:nvSpPr><p:spPr><a:xfrm><a:off x="1143000" y="685800"/><a:ext cx="4572000" cy="3429000"/></a:xfrm><a:prstGeom prst="rect"><a:avLst/></a:prstGeom><a:noFill/><a:ln w="12700"><a:solidFill><a:prstClr val="black"/></a:solidFill></a:ln></p:spPr></p:sp><p:sp><p:nvSpPr><p:cNvPr id="3" name="Notes Placeholder 2"/><p:cNvSpPr><a:spLocks noGrp="1"/></p:cNvSpPr><p:nvPr><p:ph type="body" idx="1"/></p:nvPr></p:nvSpPr><p:spPr><a:xfrm><a:off x="685800" y="4343400"/><a:ext cx="5486400" cy="4114800"/></a:xfrm><a:prstGeom prst="rect"><a:avLst/></a:prstGeom></p:spPr><p:txBody><a:bodyPr><a:normAutofit/></a:bodyPr><a:lstStyle/><a:p><a:r><a:rPr lang="en-AU" dirty="0" smtClean="0"/><a:t>I</a:t></a:r><a:r><a:rPr lang="en-AU" baseline="0" dirty="0" smtClean="0"/><a:t> classify abnormal lung sounds as either harsh (ie coarser and louder than normal) or crackles (which can be fine or </a:t></a:r><a:r><a:rPr lang="en-AU" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:rPr><a:t>coarse).</a:t></a:r></a:p><a:p><a:endParaRPr lang="en-AU" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:endParaRPr></a:p><a:p><a:r><a:rPr lang="en-GB" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:rPr><a:t>There is a tendency to think that harsh lung sounds would be caused by “dry” lung disease and that crackles would be due to “wet” lung disease but this is not the case. Harsh lung sounds can be caused by any parenchymal or airway disease probably due to increased turbulence from airway narrowing.</a:t></a:r></a:p><a:p><a:endParaRPr lang="en-GB" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:endParaRPr></a:p><a:p><a:r><a:rPr lang="en-GB" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:rPr><a:t>These radiographs are from a cat with severe interstitial lung disease, either chronic asthma or neoplasia. He had very harsh lung sounds in all fields. On the radiographs you can see that there is a very marked bronchointerstitial pattern throughout the lung lobes.</a:t></a:r></a:p><a:p><a:endParaRPr lang="en-GB" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:endParaRPr></a:p><a:p><a:r><a:rPr lang="en-GB" sz="1200" b="1" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:rPr><a:t>Referred upper airway noise </a:t></a:r><a:r><a:rPr lang="en-GB" sz="1200" kern="1200" baseline="0" dirty="0" smtClean="0"><a:solidFill><a:schemeClr val="tx1"/></a:solidFill><a:latin typeface="Times New Roman" pitchFamily="18" charset="0"/><a:ea typeface="+mn-ea"/><a:cs typeface="+mn-cs"/></a:rPr><a:t>can also make the lung sounds sound louder than normal so have a quick listen over the trachea and mentally subtract any upper airway noise from what you are hearing in the chest.</a:t></a:r></a:p></p:txBody></p:sp></p:spTree></p:cSld><p:clrMapOvr><a:masterClrMapping/></p:clrMapOvr></p:notes>