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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]
The terminology of rales and rhonchi in English remained variable until 1977, when a standardization was established by the American Thoracic Society and American College of Chest Physicians. [6] As a result, the term râles was abandoned, and crackles became its recommended substitute.
Chest X-rays may show air in the mediastinum, the middle of the chest cavity. [5] A significant case of subcutaneous emphysema can be detected by touching the overlying skin, which will feel like tissue paper or Rice Krispies. [8] Touching the bubbles causes them to move and sometimes make a crackling noise. [9]
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Joint cracking is the manipulation of joints to produce a sound and related "popping" sensation. It is sometimes performed by physical therapists, chiropractors, and osteopaths [1] pursuing a variety of outcomes. The cracking of joints, especially knuckles, was long believed to lead to arthritis and other joint problems. However, this has been ...
[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]
Signs and symptoms include crepitus (a crunching sound made when broken bone ends rub together), [1] pain, tenderness, bruising, and swelling over the fracture site. [4] The fracture may visibly move when the person breathes, and it may be bent or deformed, [4] potentially forming a "step" at the junction of the broken bone ends that is detectable by palpation. [3]
Crepitus can easily be created and observed by exerting a small amount of force on a joint, thus 'cracking it'. This is caused by bubbles of nitrogen forming in the synovial fluid bursting. Almost every joint in the body can be 'cracked' in this way, but the joints which require the least amount of force to produce this effect include the ...