Respiratory sounds

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Types

There are at least three kind of respiratory sound

  1. Rhonchi
  2. Rales / crackles
  3. Stridor

Rhonchi

  • It is a low-pitched sound that usually starts in the larger airways in the lungs.
  • It can be heard on an inhalation or exhalation, and it’s often compared to the sound of snoring.
  • These sounds are produced when there is something blocking the airway, like fluid.

Rales / crackles

  • Rales are a higher-pitched sound sometimes called crackles or bibasilar crackles.
  • These sounds are formed when air moves into closed spaces. This usually occurs in the smaller parts of the lungs, like the alveoli.
  • These are tiny sacs of air and inflate and deflate with each breath. When these tiny sacs are damaged or weighed down with fluid or mucus, they can make a crackling sound as they attempt to fill with air.

Related entities

Both Rhonchi and Rales:

  • Pneumonia
  • Bronchitis
  • COPD

Rales

Rhonchi

  • Cystic fibrosis
  • Chronic obstructive pulmonary disease (COPD)
  • Bronchiectasis

Stridor

  • It is a high-pitched extra-thoracic breath sound resulting from turbulent air flow in the larynx or lower in the bronchial tree.
  • It is a physical sign which is caused by a narrowed or obstructed airway.
  • It can be inspiratory, expiratory or biphasic, although it is usually heard during inspiration.
  • Inspiratory stridor often occurs in children with croup.
  • It may be indicative of