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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]
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.
Crackles are more common during the inspiratory than the expiratory phase of breathing, but they may be heard during the expiratory phase. Crackles are often described as fine, medium, and coarse. They can also be characterized as to their timing: fine crackles are usually late-inspiratory, whereas coarse crackles are early inspiratory.
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[8] [9] With more severe contusions, breath sounds heard through a stethoscope may be decreased, or rales (an abnormal crackling sound in the chest accompanying breathing) may be present. [6] [10] People with severe contusions may have bronchorrhea (the production of watery sputum). [11] Wheezing and coughing are other signs. [12]
Acute bronchitis, also known as a chest cold, is short-term bronchitis – inflammation of the bronchi (large and medium-sized airways) of the lungs. [2] [1] The most common symptom is a cough. [1] Other symptoms include coughing up mucus, wheezing, shortness of breath, fever, and chest discomfort. [2] The infection may last from a few to ten ...
On physical exam, increased breathing rates, increased heart rates, and a low-grade fever 38.5 o C (101.3 o F) are common. [ 9 ] [ 3 ] Listening to the lungs may reveal crackles in one or both lungs, often starting in the right middle lobe.
Shortness of breath out of proportion to effort being expended. [2] [7] Rapid, heavy or uneven breathing, or uncontrollable coughing. [10] Crackles, rattling or ‘junky’ feelings deep in the chest associated with breathing effort – usually progressively worsening with increasing shortness of breath and may be cause for a panic attack [2] [7]
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