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1 The third sound was described as a loud, crisp tapping sound. 2  The fourth sound, at pressures within 10 mmHg above the diastolic blood pressure, was described as thumping and muting. 3  The fifth Korotkoff sound is silent as the cuff pressure drops below the diastolic blood pressure.orotkoff sounds are the sounds that medical personnel listen for when they are taking blood pressure using a non-invasive procedure.
Usually the COPD patients are diminished. Some to the point that you barely hear lung sounds at all. CHF patients are usually the ones that sound wet (they need lasix IV when its that bad). They can have various sounds depending on how sick they are.Usually you will hear rhonci and rales.ales and crackles are the same, they mean it sounds wet and crackly. Rhonci sound like leather rubbing together. Pneumonia patients may have a smorgasborg of sounds. I have also heard pneumonia patients that lung sounds are pretty much clear, but the xray shows infiltrates.