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Basal crackles are crackles apparently originating in or near the base of the lung. Bibasal crackles, also called bilateral basal crackles, are crackles heard at the bases of both the left and right lungs. Crackles are caused by the "popping open" of small airways and alveoli collapsed by fluid, exudate, or lack of aeration during expiration.
Rales: Small clicking, bubbling, or rattling sounds in the lungs. They are heard when a person inhales. They are believed to occur when air opens alveoli. Rales can also be described as moist, dry, fine, and coarse. [9] Rhonchi are coarse rattling respiratory sounds, usually caused by secretions in bronchial airways. The sounds resemble snoring.
Rales or crackles, abnormal sounds heard over the lungs with a stethoscope; A mechanism of sound production in grasshoppers during flight. Also called "wing snapping".
Crackles or rales. Intermittent, non-musical and brief sounds heard during inspiration only. They may be described as fine (soft, high-pitched) or coarse (louder, low-pitched). These are the result of alveoli opening due to increased air pressure during inspiration. Common causes include congestive heart failure. [22]
Crackles (rales) may be heard over the affected area during inspiration. [24] Percussion may be dulled over the affected lung, and increased, rather than decreased, vocal resonance distinguishes pneumonia from a pleural effusion. [9]
Figure A shows the location of the lungs and airways in the body. The inset image shows a detailed view of the lung's airways and air sacs in cross-section. Figure B shows fibrosis (scarring) in the lungs. The inset image shows a detailed view of the fibrosis and how it damages the airways and air sacs. [1] Specialty: Pulmonology: Symptoms
The term can also be used when describing the sounds produced by lung conditions such as interstitial lung disease; these are also referred to as "rales". Crepitus is often loud enough to be heard by the human ear , although a stethoscope may be needed to detect instances caused by respiratory diseases.
Rales or crackles are heard initially in the lung bases and when severe in all lung fields indicate the development of pulmonary edema (fluid in the alveoli). Cyanosis, indicates deficiency of oxygen in the blood, is a late sign of extremely severe pulmonary edema. [31]