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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-GB" sz="1200" kern="1200" 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>To hear crackles, the animal must be taking sufficiently deep breaths to inflate the lung. Consequently, they are usually loudest at the end of inspiration. Crackles can be either coarse</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> or fine.</a:t></a:r></a:p><a:p><a:endParaRPr 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:endParaRPr></a:p><a:p><a:r><a:rPr lang="en-GB" sz="1200" b="1" kern="1200" 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>Fine crackles</a:t></a:r><a:r><a:rPr lang="en-GB" sz="1200" kern="1200" 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> are usually only heard at the very end of inspiration and are probably generated by the opening of collapsed small airways. </a:t></a:r><a:r><a:rPr lang="en-GB" sz="1200" b="1" kern="1200" 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 crackles</a:t></a:r><a:r><a:rPr lang="en-GB" sz="1200" kern="1200" 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> are usually associated with parenchymal disease but occasionally can be due to airway disease.</a:t></a:r></a:p><a:p><a:endParaRPr lang="en-GB" sz="1200" kern="1200" 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" 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>Nevertheless, if you hear coarse crackles, it is most likely that the animal has a fluid build up of some sort in its lungs. But by auscultation you can’t tell what that fluid is. It could be blood, exudate from pneumonia, hydrostatic oedema from left heart failure or fluid overload, neoplasia related fluid, or neurogenic pulmonary oedema.</a:t></a:r><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: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 dog with probable aspiration pneumonia. You can see that the middle lung lobe has a quite dense alveolar pattern and that is where you would hear harsh lung sounds or crackles or both.</a:t></a:r><a:endParaRPr lang="en-AU" dirty="0"/></a:p></p:txBody></p:sp></p:spTree></p:cSld><p:clrMapOvr><a:masterClrMapping/></p:clrMapOvr></p:notes>