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Croup (/ k r uː p / KROOP), also known as croupy cough, is a type of respiratory infection that is usually caused by a virus. [2] The infection leads to swelling inside the trachea , which interferes with normal breathing and produces the classic symptoms of "barking/brassy" cough , inspiratory stridor and a hoarse voice . [ 2 ]
Respiratory sounds, also known as lung sounds or breath sounds, are the specific sounds generated by the movement of air through the respiratory system. [1] These may be easily audible or identified through auscultation of the respiratory system through the lung fields with a stethoscope as well as from the spectral characteristics of lung sounds. [2]
A wheeze is a clinical symptom of a continuous, coarse, whistling sound produced in the respiratory airways during breathing. [1] For wheezes to occur, part of the respiratory tree must be narrowed or obstructed (for example narrowing of the lower respiratory tract in an asthmatic attack), or airflow velocity within the respiratory tree must be heightened.
Most common cause of croup: Human parainfluenza virus type 2 HPIV-2 11212: Causes croup and other upper and lower respiratory tract illnesses Human parainfluenza virus type 3 HPIV-3 11216: Associated with bronchiolitis and pneumonia: Human parainfluenza virus type 4 HPIV-4 11203: Includes subtypes 4a and 4b
The causes of upper airway obstructions can be acute or chronic. More acute causes of upper airway obstruction include foreign body aspiration, blunt trauma to the neck, infections, and swelling due to allergies or other inflammatory conditions. [3] In children, viral infections such as croup or epiglottitis are frequent causes. [4]
A bacterium called Mycoplasma pneumoniae causes two types of respiratory tract infections: the more common chest cold, tracheobronchitis, and the less common lung infection, walking pneumonia.
Laryngeal edema is a common cause of stridor post extubation (occurring from pressure of the endotracheal tube on the mucosa as a result of endotracheal tube that is too large (e.g. pediatrics), cuff over inflation, and prolonged intubation times.); [2] tumor (e.g., laryngeal papillomatosis, squamous cell carcinoma of larynx, trachea or esophagus);
Uncomplicated aspiration events commonly present with symptoms including wheezing and coughing. Signs and symptoms that aspiration is complicated can include dyspnea (shortness of breath), hypoxemia (low oxygen in the blood), tachycardia (high heart rate), fever, and crackles or wheezes on lung exam.