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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]
Lung ailments such as Chronic Obstructive Pulmonary Disease (COPD) cause the narrowing of airways in the lungs, limiting airflow and causing shortness of breath. Due to the limitation of airflow the VRI breathing pattern differs from that of a healthy individual. The patterns show asynchrony between lungs; with peaks in vibration energy difference.
The trachea is the largest tube in the respiratory tract and consists of tracheal rings of hyaline cartilage. It branches off into two bronchial tubes, a left and a right main bronchus. The bronchi branch off into smaller sections inside the lungs, called bronchioles. These bronchioles give rise to the air sacs in the lungs called the alveoli. [10]
Computed tomography scan following emergency chest tube drainage. Axial 1.25 mm thick sections with a lung window. (a) Persistent bilateral pneumothorax, pneumomediastinum and extensive subcutaneous emphysema. (b) Multiple lucencies around the right bronchial tree (curved arrow) precluding the correct recognition of the bronchial rupture.
Stridor a high-pitched musical breath sound resulting from turbulent air flow in the larynx or lower in the bronchial tree. [23] It is not to be confused with stertor. Causes are typically obstructive, including foreign bodies, croup, epiglottitis, tumours, infection and anaphylaxis.
Stridor (from Latin 'creaking/grating noise') is an extra-thoracic high-pitched breath sound resulting from turbulent air flow in the larynx or lower in the bronchial tree. It is different from a stertor, which is a noise originating in the pharynx. Stridor is a physical sign which is caused by a narrowed or obstructed airway.
Bronchophony may be caused by a solidification of lung tissue around the bronchi – which may indicate lung cancer – or by fluid in the alveoli, which may indicate pneumonia. However, it may also have benign causes, such as wide bronchi. As such, it is usually an indication for further investigation rather than the main basis of a diagnosis.
The carina is a cartilaginous ridge separating the left and right main bronchi that is formed by the inferior-ward and posterior-ward prolongation of the inferior-most tracheal cartilage. [2] The carina occurs at the lower end of the trachea - usually at the level of the 4th to 5th thoracic vertebra.
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