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Costochondritis, also known as chest wall pain syndrome or costosternal syndrome, is a benign inflammation of the upper costochondral (rib to cartilage) and sternocostal (cartilage to sternum) joints. 90% of patients are affected in multiple ribs on a single side, typically at the 2nd to 5th ribs. [1]
The underlying cause is unclear. Some believe the pain may be from the chest wall or irritation of an intercostal nerve. [1] [2] Risk factors include psychological stress. [2] The pain is not due to the heart. Diagnosis is based on the symptoms. Other conditions that may produce similar symptoms include angina, pericarditis, pleurisy, and chest ...
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]
One of the commonly reported symptoms of this condition is the sensation of "popping" or "clicking" of the lower ribs as a result of subluxation of the cartilaginous joints. [1] [3] Individuals with SRS report an intense, sharp pain that can radiate from the chest to the back, and may be reproducible by pressing on the affected rib(s).
Percussion is performed in a systematic matter, from the upper chest to the lower ribs, and resonance is compared between the left and right sides of the chest. This is done from the front and back of the thorax. [14] Percussion over different body tissues results in five common "notes". [14] Resonance: Loud and low pitched. Normal lung sound. [15]
A pleural friction rub, or simply pleural rub, is an audible medical sign present in some patients with pleurisy and other conditions affecting the chest cavity. It is noted by listening to the internal sounds of the body, usually using a stethoscope on the lungs.
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Korotkov described 5 sounds. Only the first (the onset of audible sound, and corresponding to systolic pressure) and the fifth (sound becomes inaudible, corresponding to diastolic pressure) are of practical clinical significance (however, see:Auscultatory gap) Kussmaul breathing [5] Adolph Kussmaul: endocrinology: metabolic acidosis