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Crackles are the clicking, rattling, or crackling noises that may be made by one or both lungs of a human with a respiratory disease during inhalation, and occasionally during exhalation. They are usually heard only with a stethoscope ("on auscultation ").
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]
Auscultation shows crackles or wheezing. Oxygen saturation usually shows hypoxemia. In most cases chest radiological examination shows signs of pulmonary edema, but a significant minority have a normal initial chest X-Ray. [3] Rapid resolution of initial signs and symptoms within 48 hours is typical.
The three types of ingressive sounds are lingual ingressive or velaric ingressive (from the tongue and the velum), glottalic ingressive (from the glottis), and pulmonic ingressive (from the lungs). The opposite of an ingressive sound is an egressive sound, by which the air stream is created by pushing air out through the mouth or nose. The ...
Chest-wall defects are usually evident in cases of injury to the chest wall, such as stab or bullet wounds ("open pneumothorax"). In secondary spontaneous pneumothoraces, vulnerabilities in the lung tissue are caused by a variety of disease processes, particularly by rupturing of bullae (large air-containing lesions) in cases of severe emphysema .
In smokers the inability to exhale fully is due to the loss of elasticity in the lungs. Smoke in the lungs causes them to harden and become less elastic, which prevents the lungs from expanding or shrinking as they normally would. [citation needed] Dead space can be determined by two types of factors which are anatomical and physiological.
It is performed by asking the patient to exhale and hold it. The doctor then percusses down their back in the intercostal margins (bone will be dull), starting below the scapula, until sounds change from resonant to dull (lungs are resonant, solid organs should be dull). That is where the provider marks the spot.
On application of expiratory force, pressure rises inside the chest forcing blood out of the pulmonary circulation into the left atrium. This causes a mild rise in stroke volume during the first few seconds of the maneuver. Reduced venous return and compensation Return of systemic blood to the heart is impeded by the pressure inside the chest.